Eisengart, Jonathan A

Eisengart, Jonathan A is an individual health care provider with primary practice located at 1611 S Green Rd Suite 306B, South Euclid OH 44121-4128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Eisengart, Jonathan A can be contacted via phone (216) 291-3550.

Contact Information

Primary practice address
1611 S Green Rd Suite 306B South Euclid OH 44121-4128
Fax: (216) 291-4849
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35-085315 Ohio

Profile Details

NPI number 1497748495
LBN Legal business name Eisengart, Jonathan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Nov 7th, 2007 - about 17 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 1497748495 NPPES
Other P00282497 RAILROAD MEDICARE
Other 000000368344 RAILROAD MEDICARE
MEDICAID 2491754 RAILROAD MEDICARE
Other 1193810001 RAILROAD MEDICARE

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