Ebaugh, Eric

Ebaugh, Eric is an individual health care provider with primary practice located at 840 E Hill Ave , Moses Lake WA 98837-2238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ebaugh, Eric can be contacted via phone (509) 663-8711.

Contact Information

Primary practice address
840 E Hill Ave Moses Lake WA 98837-2238
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OP60646987 Washington
Allopathic & Osteopathic Physicians / Surgery 208600000X 94-07682 Kansas

Profile Details

NPI number 1750676490
LBN Legal business name Ebaugh, Eric
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2011
Last updated Jun 15th, 2022 - 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 1750676490 NPPES
Washington MEDICAID 1750676490
Washington Other P01665989

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