Eisengart, Marvin A
Eisengart, Marvin A is an individual health care provider with primary practice located at 325C Kennedy Memorial Dr , Waterville ME 04901-4517. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Eisengart, Marvin A can be contacted via phone (207) 873-1990.Contact Information
Primary practice address
325C Kennedy Memorial Dr
Waterville ME 04901-4517
Phone: (207) 873-1990
Fax: (207) 877-6639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 007665 | Maine |
Profile Details
| NPI number | 1386633840 |
|---|---|
| LBN Legal business name | Eisengart, Marvin A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1386633840 | NPPES |
| Maine | Other | 1044422 | AETNA |
| Maine | Other | M58562 | AETNA |
| Maine | Other | 010354796001 | AETNA |
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