Eisenberg, Jacalyn
Eisenberg, Jacalyn is an individual health care provider with primary practice located at 7316 Bowlyn Pl S , Seattle WA 98118-4208. She recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as her primary health care specialty. Eisenberg, Jacalyn can be contacted via phone (206) 910-4203.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Emergency Medical Technician, Basic | 146N00000X |
Profile Details
| NPI number | 1679980189 |
|---|---|
| LBN Legal business name | Eisenberg, Jacalyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2014 |
| Last updated | Jul 16th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679980189 | NPPES |
| Washington | MEDICAID | 200926248WA |
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