Ebb, David Henry
Ebb, David Henry is an individual health care provider with primary practice located at 55 Fruit St, Yaw 8B Pediatric Hematolgy-Oncology, Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Ebb, David Henry can be contacted via phone (617) 726-2737.Contact Information
Primary practice address
55 Fruit St, Yaw 8B Pediatric Hematolgy-Oncology
Boston MA 02114-2696
Phone: (617) 726-2737
Fax: (617) 724-0702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 77317 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 77317 | Massachusetts |
Profile Details
| NPI number | 1003898297 |
|---|---|
| LBN Legal business name | Ebb, David Henry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Dec 18th, 2012 - about 14 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 | 1003898297 | NPPES |
| Massachusetts | MEDICAID | 3111202 | |
| Massachusetts | Other | 730166 | |
| Massachusetts | Other | J13960 |
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