Ebler, David

Ebler, David is an individual health care provider with primary practice located at 655 W 8Th St , Jacksonville FL 32209-6511. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Ebler, David can be contacted via phone (904) 383-1015.

Contact Information

Primary practice address
655 W 8Th St Jacksonville FL 32209-6511
Phone: (904) 383-1015
Fax: (904) 244-4687
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 247238 New York
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X ME113476 Florida

Profile Details

NPI number 1174776322
LBN Legal business name Ebler, David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2008
Last updated Aug 9th, 2013 - about 13 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 1174776322 NPPES
Florida Other 14MP6 BCBS
Florida MEDICAID 006561700 BCBS
Florida MEDICAID 003134317A BCBS

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