Ebner, Tamara

Ebner, Tamara is an individual health care provider with primary practice located at 725 Airport Rd , Lakewood NJ 08701-5968. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ebner, Tamara can be contacted via phone (327) 367-4700.

Contact Information

Primary practice address
725 Airport Rd Lakewood NJ 08701-5968
Phone: (327) 367-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X AD-GTL-21-02309 New Jersey

Profile Details

NPI number 1093478364
LBN Legal business name Ebner, Tamara
Credentials CPRS/CADC INTERN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2021
Last updated Jun 7th, 2023 - about 3 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 1093478364 NPPES
New Jersey MEDICAID 1487204145

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