Eitzen, Christopher John

Eitzen, Christopher John is an individual health care provider with primary practice located at 11616 Iberia Place , San Diego CA 92128. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is his primary health care specialty. Eitzen, Christopher John can be contacted via phone (858) 676-5000.

Contact Information

Primary practice address
11616 Iberia Place San Diego CA 92128
Phone: (858) 676-5000
Fax: (858) 676-5016
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 46180 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 46180 California

Profile Details

NPI number 1932276607
LBN Legal business name Eitzen, Christopher John
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 17 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 1932276607 NPPES
Other 173912 UNITED CONCORDIA INS ORTH
Other 809272 UNITED CONCORDIA INS ORTH

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