Eisma, Mary Anne Q
Eisma, Mary Anne Q is an individual health care provider with primary practice located at 4700 Las Vegas Blvd N , Nellis Afb NV 89191-6600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Aerospace Medicine, which is considered as her primary health care specialty. Eisma, Mary Anne Q can be contacted via phone (702) 653-2766.Contact Information
Primary practice address
4700 Las Vegas Blvd N
Nellis Afb NV 89191-6600
Phone: (702) 653-2766
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Aerospace Medicine | 2083A0100X | 02003990A | Indiana |
Profile Details
| NPI number | 1831420900 |
|---|---|
| LBN Legal business name | Eisma, Mary Anne Q |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2010 |
| Last updated | Oct 6th, 2017 - about 7 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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