Individual
MICHAEL ALAN EISENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1880 AMHERST STREET, SUITE 100 AND SUITE 200, WINCHESTER, VA 22601
(540) 662-0306
(855) 264-2066
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2896
(540) 662-0306
(855) 264-2066
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110-840765
VA
363AM0700X
Medical Physician Assistant
01340
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970008085
RAIL ROAD MEDICARE
—
Enumeration date
08/10/2006
Last updated
09/15/2021
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