Eisenhut, Randy Earl

Eisenhut, Randy Earl is an individual health care provider with primary practice located at 6551 Centerville Business Pkwy Ste 110 , Dayton OH 45459-2696. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Eisenhut, Randy Earl can be contacted via phone (937) 291-6850.

Contact Information

Primary practice address
6551 Centerville Business Pkwy Ste 110 Dayton OH 45459-2696
Fax: (947) 291-6896
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35058652E Ohio

Profile Details

NPI number 1174580948
LBN Legal business name Eisenhut, Randy Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Oct 10th, 2023 - about 2 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 1174580948 NPPES
Ohio MEDICAID 0817638

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