Individual
JAMES CONRAD EISENACH
Active
Individual
JAMES CONRAD EISENACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
29912
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
29912
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30259
BCBS
—
05
—
3810001302
—
WV
01
—
402
PARTNERS
—
01
—
4098394
AETNA
—
05
—
5728495
—
VA
01
—
63954
MEDCOST
—
05
—
8930273
—
NC
05
—
Q29912
—
SC
Enumeration date
12/13/2005
Last updated
08/30/2017
Update your record
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