Ebalo, Evelyn Ebarle
Ebalo, Evelyn Ebarle is an individual health care provider with primary practice located at 1920 Black Lake Blvd Sw , Olympia WA 98512-5651. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ebalo, Evelyn Ebarle can be contacted via phone (360) 534-9222.Contact Information
Primary practice address
1920 Black Lake Blvd Sw
Olympia WA 98512-5651
Phone: (360) 534-9222
Fax: (360) 534-9223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00028453 | Washington |
Profile Details
| NPI number | 1881671618 |
|---|---|
| LBN Legal business name | Ebalo, Evelyn Ebarle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881671618 | NPPES |
| Washington | Other | EB5698 | REGENCE |
| Washington | MEDICAID | 8128340 | REGENCE |
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