Ebbin, Allan Jerome

Ebbin, Allan Jerome is an individual health care provider with primary practice located at 2716-4 N Tenaya Way , Las Vegas NV 89128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ebbin, Allan Jerome can be contacted via phone (702) 242-7731.

Contact Information

Primary practice address
2716-4 N Tenaya Way Las Vegas NV 89128
Phone: (702) 242-7731
Fax: (702) 869-2480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 8037 Nevada

Profile Details

NPI number 1811967912
LBN Legal business name Ebbin, Allan Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Feb 7th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811967912 NPPES
Nevada MEDICAID 3102835
Nevada Other P00012602
Nevada MEDICAID 2018835

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