Ebeo, Celso T

Ebeo, Celso T is an individual health care provider with primary practice located at 310 N State Of Franklin Rd Ste 303, Johnson City TN 37604-6008. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Ebeo, Celso T can be contacted via phone (423) 926-8181.

Contact Information

Primary practice address
310 N State Of Franklin Rd Ste 303 Johnson City TN 37604-6008
Phone: (423) 926-8181
Fax: (423) 926-8652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 41941 Tennessee
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 41941 Tennessee
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 41941 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 41941 Tennessee

Profile Details

NPI number 1104812734
LBN Legal business name Ebeo, Celso T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jun 18th, 2024 - about 6 months 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 1104812734 NPPES
Virginia MEDICAID 010036186
Virginia MEDICAID 1104812734
Virginia MEDICAID 3000405
Virginia MEDICAID 1841829000
Virginia MEDICAID 64070527

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