Ebaugh, Michael J
Ebaugh, Michael J is an individual health care provider with primary practice located at 254 N Kessing St , Porterville CA 93257-3424. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ebaugh, Michael J can be contacted via phone (559) 781-8500.Contact Information
Primary practice address
254 N Kessing St
Porterville CA 93257-3424
Phone: (559) 781-8500
Fax: (559) 781-8300
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | A65845 | California |
Profile Details
NPI number | 1609965797 |
---|---|
LBN Legal business name | Ebaugh, Michael J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 12th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1609965797 | NPPES |
California | Other | ZZZ06893Z | BLUE SHIELD |
California | MEDICAID | GR0099940 | BLUE SHIELD |
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