Ebert, Edward L.

Ebert, Edward L. is an individual health care provider with primary practice located at 2655 Cty Hwy I , Chippewa Falls WI 54729-1423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Ebert, Edward L. can be contacted via phone (715) 726-4200.

Contact Information

Primary practice address
2655 Cty Hwy I Chippewa Falls WI 54729-1423
Phone: (715) 726-4200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 49828 Wisconsin

Profile Details

NPI number 1285604850
LBN Legal business name Ebert, Edward L.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Aug 17th, 2011 - about 14 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 1285604850 NPPES
Illinois MEDICAID 036066359
Illinois MEDICAID APPR

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