Ebb, David Henry

Ebb, David Henry is an individual health care provider with primary practice located at 55 Fruit St, Yaw 8B Pediatric Hematolgy-Oncology, Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Ebb, David Henry can be contacted via phone (617) 726-2737.

Contact Information

Primary practice address
55 Fruit St, Yaw 8B Pediatric Hematolgy-Oncology Boston MA 02114-2696
Phone: (617) 726-2737
Fax: (617) 724-0702
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 77317 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 77317 Massachusetts

Profile Details

NPI number 1003898297
LBN Legal business name Ebb, David Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Dec 18th, 2012 - about 13 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 1003898297 NPPES
Massachusetts MEDICAID 3111202
Massachusetts Other 730166
Massachusetts Other J13960

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