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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548288723 NPPES
California MEDICAID 00G237600

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