Eberhardt, Terry L

Eberhardt, Terry L is an individual health care provider with primary practice located at 8731 Park Plaza Dr , Shreveport LA 71105-5682. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Eberhardt, Terry L can be contacted via phone (318) 797-5848.

Contact Information

Primary practice address
8731 Park Plaza Dr Shreveport LA 71105-5682
Phone: (318) 797-5848
Fax: (318) 797-5844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 00295 Louisiana

Profile Details

NPI number 1558358101
LBN Legal business name Eberhardt, Terry L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated May 10th, 2023 - about 3 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 1558358101 NPPES
Louisiana MEDICAID 2579568
Louisiana Other 11405983

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