Ober, Eric Ellsworth

Ober, Eric Ellsworth is an individual health care provider with primary practice located at 1108 Fayette Avenue , Belle Vernon PA 15012. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ober, Eric Ellsworth can be contacted via phone (724) 929-3368.

Contact Information

Primary practice address
1108 Fayette Avenue Belle Vernon PA 15012
Fax: (724) 929-3467
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS027696L Pennsylvania

Profile Details

NPI number 1003982521
LBN Legal business name Ober, Eric Ellsworth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1003982521 NPPES
Pennsylvania Other 677245 UCCI

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