Ebner, Jack Alan

Ebner, Jack Alan is an sole proprietor health care provider with primary practice located at 1650 Pacific Coast Hwy , Seal Beach CA 90740-6253. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ebner, Jack Alan can be contacted via phone (562) 799-2423.

Contact Information

Primary practice address
1650 Pacific Coast Hwy Seal Beach CA 90740-6253
Phone: (562) 799-2423
Fax: (562) 431-4868
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 14012 California

Profile Details

NPI number 1528172608
LBN Legal business name Ebner, Jack Alan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Jun 23rd, 2011 - about 15 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 1528172608 NPPES
California Other DC14012 CHIROPRACTIC LICENSE
California Other DC0140120 CHIROPRACTIC LICENSE

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