Mallory Lynn Eisenman in Philadelphia - Podiatrist

Mallory Lynn Eisenman - NPI 1487655445

Mallory Lynn Eisenman is a Podiatrist in Philadelphia, Pennsylvania. Mallory Lynn Eisenman practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Mallory Lynn Eisenman is 1487655445. The last update date is 2014-03-11.

Mallory Lynn Eisenman's current location address is 1900 Rittenhouse Sq, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157353668 and fax number 2157351838. The mailing address for Mallory Lynn Eisenman is 1900 Rittenhouse Sq, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Mallory Lynn Eisenman
Address 1900 Rittenhouse Sq, Philadelphia, Pennsylvania
Phone Number 2157353668
Fax Number 2157351838
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1487655445
Provider Enumeration Date 2005-08-02
Last Updated Date 2014-03-11

Provider Mailing Address Detail

Address 1900 Rittenhouse Sq
City Philadelphia
State Pennsylvania (PA)
Post Code 191035767
Phone Number 2157353668
Fax Number 2157351838

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No SC0021671
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
480001090 PA RAILROAD MEDICARE
492696 BLUECROSS
402696 HIGHMARK
10346300001 PA --

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FAQs about Mallory Lynn Eisenman

What is the unique 10-digit identification code assigned to Mallory Lynn Eisenman by the Centers for Medicare & Medicaid Services?

The Mallory Lynn Eisenman has been issued the NPI (National Provider Identifier) 1487655445, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Mallory Lynn Eisenman is physically located?

The Mallory Lynn Eisenman is situated at the following address: 1900 Rittenhouse Sq, Philadelphia, PA 191035767.

What is Mallory Lynn Eisenman's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mallory Lynn Eisenman's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.

On what date did the Mallory Lynn Eisenman receive the assignment of its 1487655445 from the Centers for Medicare & Medicaid Services?

The Mallory Lynn Eisenman was issued its 1487655445 by the Centers for Medicare & Medicaid Services on 2005-08-02.

When was the information regarding Mallory Lynn Eisenman most recently updated?

The details pertaining to the Mallory Lynn Eisenman, including its address, specialty, and other relevant information, were last refreshed on 2014-03-11.

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