Ebaugh, Diane B
Ebaugh, Diane B is an sole proprietor health care provider with primary practice located at 1005 W Green St Suite 304, Hastings MI 49058-1712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ebaugh, Diane B can be contacted via phone (269) 948-8057.Contact Information
Primary practice address
1005 W Green St Suite 304
Hastings MI 49058-1712
Phone: (269) 948-8057
Fax: (269) 948-8964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DE046093 | Michigan |
Profile Details
| NPI number | 1215997796 |
|---|---|
| LBN Legal business name | Ebaugh, Diane B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Feb 19th, 2016 - about 10 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 | 1215997796 | NPPES |
| Michigan | MEDICAID | 1535189 |
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