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
Phone: (937) 291-6850
Fax: (947) 291-6896
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174580948 | NPPES |
Ohio | MEDICAID | 0817638 |
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