Mark J. Eisen, M.D.

LBN: Mark J. Eisen, M.D.
Mark J. Eisen, M.D. is an health care organization with primary practice located at 900 Martin Luther King Jr Blvd Sutie A, Chapel Hill NC 27514-2601. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mark J. Eisen, M.D. can be contacted via phone (919) 967-3452, or through Gillikin, Marcus W via phone (252) 353-7162.

Contact Information

Primary practice address
900 Martin Luther King Jr Blvd Sutie A Chapel Hill NC 27514-2601
Phone: (919) 967-3452
Fax: (919) 932-5200
Website:
Map and Directions
Authorized official contact:
Name: Gillikin, Marcus W MD, MBA
Phone: (252) 353-7162

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25580 North Carolina

Profile Details

NPI number 1255447967
LBN Legal business name Mark J. Eisen, M.D.
DBA Doing business as
Authorized official Gillikin, Marcus W MD, MBA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2006
Last updated Aug 22nd, 2020 - about 4 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 1255447967 NPPES
North Carolina MEDICAID 8930263

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