Ebersole, Thomas M

Ebersole, Thomas M is an individual health care provider with primary practice located at 1040 Reed Ave , Wyomissing PA 19610-2029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ebersole, Thomas M can be contacted via phone (610) 898-7040.

Contact Information

Primary practice address
1040 Reed Ave Wyomissing PA 19610-2029
Phone: (610) 898-7040
Fax: (610) 376-8239
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD0362005L Pennsylvania

Profile Details

NPI number 1710920236
LBN Legal business name Ebersole, Thomas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 12th, 2018 - about 7 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 1710920236 NPPES
Pennsylvania MEDICAID 000677107

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