Eberly, David B

Eberly, David B is an individual health care provider with primary practice located at 4700 S Washington St Ste G , Grand Forks ND 58201-8123. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Eberly, David B can be contacted via phone (701) 205-3000.

Contact Information

Primary practice address
4700 S Washington St Ste G Grand Forks ND 58201-8123
Phone: (701) 205-3000
Fax: (701) 732-2501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12819 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10003354 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PAC0596 North Dakota

Profile Details

NPI number 1306819941
LBN Legal business name Eberly, David B
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jan 6th, 2020 - about 6 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 1306819941 NPPES
North Dakota MEDICAID 1465113
North Dakota MEDICAID 8349425

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