Ebenger, Martin

Ebenger, Martin is an individual health care provider with primary practice located at 15901 Bass Rd Suite 100, Fort Myers FL 33908. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Ebenger, Martin can be contacted via phone (239) 343-6100.

Contact Information

Primary practice address
15901 Bass Rd Suite 100 Fort Myers FL 33908
Phone: (239) 343-6100
Fax: (239) 343-9925
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME0065358 Florida
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME006358 Florida

Profile Details

NPI number 1912994609
LBN Legal business name Ebenger, Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Mar 30th, 2023 - about last year

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 1912994609 NPPES
Florida MEDICAID 376275100

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