Ebert, Pam
Ebert, Pam is an individual health care provider with primary practice located at 1871 2Nd St , Springfield OR 97477-2121. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ebert, Pam can be contacted via phone (541) 741-0122.Contact Information
Primary practice address
1871 2Nd St
Springfield OR 97477-2121
Phone: (541) 741-0122
Fax: (541) 988-3401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3484AT | Oregon |
Profile Details
| NPI number | 1124155528 |
|---|---|
| LBN Legal business name | Ebert, Pam |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Mar 3rd, 2017 - about 9 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 | 1124155528 | NPPES |
| Oregon | Other | R174133 | PTAN |
Popular Providers
-
Cates, Gerald Lee
1871 2Nd St , Springfield OR 97477-2121 -
Cleveland, Trevor John
840 A St , Springfield OR 97477-4710 -
Crossland, Nicole Suzanne
1611 J St , Springfield OR 97477-4252 -
Coutant, Ben E.
2659 Olympic St , Springfield OR 97477-3473 -
Sude, Jerome
3510 Manchester Rd , Coventry Township OH 44319-1415 -
Firth, Winona J.
840 A St , Springfield OR 97477-4710 -
Radebaugh, Charles Duane
1800 Centennial Blvd Suite 2, Springfield OR 97477-4385 -
Park, Theresa A
3030 Gateway Street Sears Optical, Springfield OR 97477-1027