Ebenroth, Eric S

Ebenroth, Eric S is an individual health care provider with primary practice located at 705 Riley Hospital Dr Ri 1134, Indianapolis IN 46202-5109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Ebenroth, Eric S can be contacted via phone (317) 944-8906.

Contact Information

Primary practice address
705 Riley Hospital Dr Ri 1134 Indianapolis IN 46202-5109
Phone: (317) 944-8906
Fax: (317) 944-9330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 01047416 Indiana

Profile Details

NPI number 1134237100
LBN Legal business name Ebenroth, Eric S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jun 16th, 2021 - about 3 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 1134237100 NPPES
Indiana MEDICAID 200285800

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