Eberhart-Phillips, Jason Edward

Eberhart-Phillips, Jason Edward is an sole proprietor health care provider with primary practice located at 931 Spring St , Placerville CA 95667-4543. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Eberhart-Phillips, Jason Edward can be contacted via phone (530) 621-6277.

Contact Information

Primary practice address
931 Spring St Placerville CA 95667-4543
Phone: (530) 621-6277
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X G66655 California

Profile Details

NPI number 1811039415
LBN Legal business name Eberhart-Phillips, Jason Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2007
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811039415 NPPES
California MEDICAID 00G666550

Popular Providers