Eisenberg, Robert B

Eisenberg, Robert B is an individual health care provider with primary practice located at 1541 Florida Ave #100, Modesto CA 95350-4429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Eisenberg, Robert B can be contacted via phone (209) 577-3388.

Contact Information

Primary practice address
1541 Florida Ave #100 Modesto CA 95350-4429
Phone: (209) 577-3388
Fax: (209) 338-0024
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X A31900 California

Profile Details

NPI number 1821014820
LBN Legal business name Eisenberg, Robert B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Mar 13th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821014820 NPPES
California Other CK115X MEDICARE PTAN FOR GHP
California MEDICAID 1982938247 MEDICARE PTAN FOR GHP
California Other WA43540C MEDICARE PTAN FOR GHP

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