Individual
MR. EDWIN A. EISENBEIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.
Contact information
Practice address
802 LOCKWOOD AVE STE B, NEWPORT NEWS, VA 23602-4479
(757) 833-0911
(757) 833-1099
Mailing address
802 LOCKWOOD AVE STE B, NEWPORT NEWS, VA 23602-4479
(757) 833-0911
(757) 833-1099
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
09/01/2007
Last updated
09/01/2007
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