Ebbert, Timothy Adam
Ebbert, Timothy Adam is an individual health care provider with primary practice located at 13225 N Meridian St , Carmel IN 46032-5480. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Ebbert, Timothy Adam can be contacted via phone (317) 228-7000.Contact Information
Primary practice address
13225 N Meridian St
Carmel IN 46032-5480
Phone: (317) 228-7000
Fax: (317) 228-2321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 05006970 | Indiana |
Profile Details
| NPI number | 1003089350 |
|---|---|
| LBN Legal business name | Ebbert, Timothy Adam |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2008 |
| Last updated | May 31st, 2016 - about 9 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 | 1003089350 | NPPES |
| Indiana | Other | 000000561450 | UNICARE |
| Indiana | Other | 000000561450 | UNICARE |
| Indiana | Other | P00609673 | UNICARE |
| Indiana | MEDICAID | 200899220 | UNICARE |
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