Alston, Ebony Rebecca
Alston, Ebony Rebecca is an individual health care provider with primary practice located at 9105 Franklin Square Dr Ste 209 , Baltimore MD 21237-3958. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Alston, Ebony Rebecca can be contacted via phone (410) 574-1330.Contact Information
Primary practice address
9105 Franklin Square Dr Ste 209
Baltimore MD 21237-3958
Phone: (410) 574-1330
Fax: (410) 574-2691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | D0086624 | Maryland |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25MA10191500 | New Jersey |
Profile Details
| NPI number | 1073803136 |
|---|---|
| LBN Legal business name | Alston, Ebony Rebecca |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2011 |
| Last updated | Mar 5th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073803136 | NPPES |
| New Jersey | MEDICAID | 0581721 |
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