Eisenbrei, Mark
Eisenbrei, Mark is an sole proprietor health care provider with primary practice located at 1130 30Th St Nw , Canton OH 44709-2921. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Eisenbrei, Mark can be contacted via phone (330) 492-0038.Contact Information
Primary practice address
1130 30Th St Nw
Canton OH 44709-2921
Phone: (330) 492-0038
Fax: (330) 492-2914
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | SC 2290 | Ohio |
Profile Details
| NPI number | 1598165672 |
|---|---|
| LBN Legal business name | Eisenbrei, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2014 |
| Last updated | Aug 26th, 2014 - about 11 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 | 1598165672 | NPPES |
| Ohio | MEDICAID | 2621434 |
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