Eisenman, William
Eisenman, William is an sole proprietor health care provider with primary practice located at 1400 E 2Nd St , Defiance OH 43512-2440. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Eisenman, William can be contacted via phone (419) 784-1414.Contact Information
Primary practice address
1400 E 2Nd St
Defiance OH 43512-2440
Phone: (419) 784-1414
Fax: (419) 783-2799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN.CNP.022042 | Ohio |
Profile Details
| NPI number | 1740793793 |
|---|---|
| LBN Legal business name | Eisenman, William |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2017 |
| Last updated | Feb 8th, 2022 - about 3 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 | 1740793793 | NPPES |
| Ohio | MEDICAID | 0262318 |
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