Ebertz, Joseph Mark

Ebertz, Joseph Mark is an individual health care provider with primary practice located at 2700 State St , Bismarck ND 58503-0669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Ebertz, Joseph Mark can be contacted via phone (701) 712-4500.

Contact Information

Primary practice address
2700 State St Bismarck ND 58503-0669
Phone: (701) 712-4500
Fax: (701) 712-4011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 5421 North Dakota

Profile Details

NPI number 1649224809
LBN Legal business name Ebertz, Joseph Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated May 16th, 2023 - about 2 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 1649224809 NPPES
North Dakota Other 070015671 MEDICARE RAILROAD
North Dakota MEDICAID 11591 MEDICARE RAILROAD

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