Individual
RAYMOND N EISENMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 556-3570
(417) 556-6475
Mailing address
PO BOX 7411626, CHICAGO, IL 60674-5626
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
143488
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164430880
—
MO
05
—
200533700A
—
OK
05
—
201098710B
—
KS
01
—
P01387877
RAIL ROAD MEDICARE
MO
Enumeration date
08/05/2006
Last updated
07/03/2025
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