Provider Demographics
NPI:1487355277
Name:EISENSTEIN, ALEXANDER
Entity type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:
Last Name:EISENSTEIN
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:SASCHA
Other - Middle Name:
Other - Last Name:EISENSTEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Mailing Address - Street 2:4301 WEST MARKHAM, SLOT 589
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Practice Address - Street 2:4301 WEST MARKHAM, SLOT 589
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-526-8148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program