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Contact Information

JACALYN EISENBERG
7316 BOWLYN PL S
SEATTLE, WA98118-4208
 Phone: 206-910-4203
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for JACALYN EISENBERG · (Female)

NPI Number 1679980189
Status Active
Credentials
Entity Individual
Enumeration date 07/16/2014
Last updated 07/16/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WA Medicaid 200926248WA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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