Ebalo, Nonna Lyn M
Ebalo, Nonna Lyn M is an individual health care provider with primary practice located at 2212 Wilborn Ave , South Boston VA 24592-1630. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ebalo, Nonna Lyn M can be contacted via phone (434) 572-8921.Contact Information
Primary practice address
2212 Wilborn Ave
South Boston VA 24592-1630
Phone: (434) 572-8921
Fax: (434) 572-2063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101232220 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C51721 | California |
Profile Details
| NPI number | 1861472524 |
|---|---|
| LBN Legal business name | Ebalo, Nonna Lyn M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Sep 24th, 2012 - about 12 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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