Provider Demographics
NPI:1750902490
Name:EISNER, JAMIE PAIGE
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:PAIGE
Last Name:EISNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3934 FOSTER ST
Mailing Address - Street 2:APARTMENT 332
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201
Mailing Address - Country:US
Mailing Address - Phone:412-596-1885
Mailing Address - Fax:
Practice Address - Street 1:3934 FOSTER ST
Practice Address - Street 2:APARTMENT 332
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201
Practice Address - Country:US
Practice Address - Phone:412-596-1885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-05
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist