Eberle, Rebecca D.
Eberle, Rebecca D. is an individual health care provider with primary practice located at 200 S Jordan Ave Department Of Speech And Hearing Sciences, Bloomington IN 47405. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Eberle, Rebecca D. can be contacted via phone (812) 855-1069.Contact Information
Primary practice address
200 S Jordan Ave Department Of Speech And Hearing Sciences
Bloomington IN 47405
Phone: (812) 855-1069
Fax: (812) 855-5561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 22001596A | Indiana |
Profile Details
| NPI number | 1366432528 |
|---|---|
| LBN Legal business name | Eberle, Rebecca D. |
| Credentials | M.A., CCC-SLP, BC-NC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 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 | 1366432528 | NPPES |
| Indiana | Other | 11512049 | CAQH PROVIDER ID |
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