Ebner, Gerald D.

Ebner, Gerald D. is an sole proprietor health care provider with primary practice located at 1418 E Main St Ste 210, Santa Maria CA 93454-4833. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ebner, Gerald D. can be contacted via phone (805) 928-3678.

Contact Information

Primary practice address
1418 E Main St Ste 210 Santa Maria CA 93454-4833
Phone: (805) 928-3678
Fax: (805) 928-6408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G25834 California

Profile Details

NPI number 1720081730
LBN Legal business name Ebner, Gerald D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2005
Last updated Jun 9th, 2015 - about 10 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 1720081730 NPPES
California MEDICAID 00G258340
California Other 180015121

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