Ebbert, Michael James

Ebbert, Michael James is an individual health care provider with primary practice located at 3538 Teays Valley Rd , Hurricane WV 25526-9054. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Ebbert, Michael James can be contacted via phone (304) 212-7207.

Contact Information

Primary practice address
3538 Teays Valley Rd Hurricane WV 25526-9054
Fax: (888) 808-0795
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RP0004542 West Virginia
Pharmacy Service Providers / Pharmacist 183500000X 03317167 Ohio

Profile Details

NPI number 1780029876
LBN Legal business name Ebbert, Michael James
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2013
Last updated May 3rd, 2013 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780029876 NPPES
West Virginia Other RP0004542 STATE BOARD OF PHARMACY

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