Eisenman, Jesse H.

Eisenman, Jesse H. is an sole proprietor health care provider with primary practice located at 5065 State Road 7 Suite 201, Lake Worth FL 33449-4615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Eisenman, Jesse H. can be contacted via phone (561) 753-7487.

Contact Information

Primary practice address
5065 State Road 7 Suite 201 Lake Worth FL 33449-4615
Phone: (561) 753-7487
Fax: (561) 753-8161
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME0051941 Florida

Profile Details

NPI number 1770581720
LBN Legal business name Eisenman, Jesse H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2005
Last updated Nov 20th, 2012 - about 12 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 1770581720 NPPES
Florida MEDICAID 062434900
Florida Other 08653

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