Eitzman, Daniel T
Eitzman, Daniel T is an individual health care provider with primary practice located at 1500 East Medical Center Dr 3Rd Floor Taubman Ctr Recp C, Ann Arbor MI 48109-5644. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Eitzman, Daniel T can be contacted via phone (734) 647-7321.Contact Information
Primary practice address
1500 East Medical Center Dr 3Rd Floor Taubman Ctr Recp C
Ann Arbor MI 48109-5644
Phone: (734) 647-7321
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301053224 | Michigan |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 4301053224 | Michigan |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4301053224 | Michigan |
Profile Details
NPI number | 1073698809 |
---|---|
LBN Legal business name | Eitzman, Daniel T |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 27th, 2006 |
Last updated | Dec 10th, 2019 - about 5 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 | 1073698809 | NPPES |
Michigan | MEDICAID | 3384029 |
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