Ebb, Kimberly W
Ebb, Kimberly W is an individual health care provider with primary practice located at 50 Memorial Dr Suite 108, Leominster MA 01453. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Ebb, Kimberly W can be contacted via phone (978) 466-2277.Contact Information
Primary practice address
50 Memorial Dr Suite 108
Leominster MA 01453
Phone: (978) 466-2277
Fax: (978) 466-2282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 151001 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 151001 | Massachusetts |
Profile Details
| NPI number | 1790777589 |
|---|---|
| LBN Legal business name | Ebb, Kimberly W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Dec 11th, 2020 - about 4 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 | 1790777589 | NPPES |
| Massachusetts | Other | 49154 | FALLON |
| Massachusetts | Other | 66455 | FALLON |
| Massachusetts | MEDICAID | 3174671 | FALLON |
| Massachusetts | Other | 151001 | FALLON |
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