Elyse Eisenberg, Md

LBN: Elyse R. Eisenberg Md, Inc.
Elyse Eisenberg, Md is an health care organization with primary practice located at 725 Farmers Ln Ste 10 , Santa Rosa CA 95405-6743. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Elyse R. Eisenberg Md, Inc. can be contacted via phone (707) 575-5355, or through Eisenberg, Elyse Rae via phone (707) 575-5355.

Contact Information

Primary practice address
725 Farmers Ln Ste 10 Santa Rosa CA 95405-6743
Phone: (707) 575-5355
Fax: (866) 870-0815
Website:
Map and Directions
Authorized official contact:
Name: Eisenberg, Elyse Rae Doctor of Medicine (MD)
Phone: (707) 575-5355

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X G64542 California

Profile Details

NPI number 1497954911
LBN Legal business name Elyse R. Eisenberg Md, Inc.
DBA Doing business as Elyse Eisenberg, Md
Authorized official Eisenberg, Elyse Rae Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2007
Last updated Apr 10th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497954911 NPPES
Other 14979554911 GROUP'S NPI

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