Ebert, Allan M

Ebert, Allan M is an individual health care provider with primary practice located at 7057 N Clio Rd , Mount Morris MI 48458-8261. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ebert, Allan M can be contacted via phone (810) 564-3464.

Contact Information

Primary practice address
7057 N Clio Rd Mount Morris MI 48458-8261
Phone: (810) 564-3464
Fax: (810) 564-3466
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101006057 Michigan
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 5101006057 Michigan

Profile Details

NPI number 1558463372
LBN Legal business name Ebert, Allan M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Mar 12th, 2010 - about 16 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 1558463372 NPPES
Michigan MEDICAID 3235584

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