Eisenbud, Elliott
Eisenbud, Elliott is an sole proprietor health care provider with primary practice located at 6600 Mercy Ct Ste 110 , Fair Oaks CA 95628-3150. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Eisenbud, Elliott can be contacted via phone (916) 966-5404.Contact Information
Primary practice address
6600 Mercy Ct Ste 110
Fair Oaks CA 95628-3150
Phone: (916) 966-5404
Fax: (916) 966-0932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G23760 | California |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | G23760 | California |
Profile Details
| NPI number | 1548288723 |
|---|---|
| LBN Legal business name | Eisenbud, Elliott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Apr 6th, 2010 - about 14 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 | 1548288723 | NPPES |
| California | MEDICAID | 00G237600 |
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