Eberhardt, Terry L
Eberhardt, Terry L is an individual health care provider with primary practice located at 8731 Park Plaza Dr , Shreveport LA 71105-5682. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Eberhardt, Terry L can be contacted via phone (318) 797-5848.Contact Information
Primary practice address
8731 Park Plaza Dr
Shreveport LA 71105-5682
Phone: (318) 797-5848
Fax: (318) 797-5844
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 00295 | Louisiana |
Profile Details
NPI number | 1558358101 |
---|---|
LBN Legal business name | Eberhardt, Terry L |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 29th, 2005 |
Last updated | May 10th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558358101 | NPPES |
Louisiana | MEDICAID | 2579568 | |
Louisiana | Other | 11405983 |
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