Eberhart, Stephanie

Eberhart, Stephanie is an individual health care provider with primary practice located at 5310 Merchandise Dr , Fort Wayne IN 46825-5140. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Eberhart, Stephanie can be contacted via phone (260) 484-9491.

Contact Information

Primary practice address
5310 Merchandise Dr Fort Wayne IN 46825-5140
Phone: (260) 484-9491
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1073623948
LBN Legal business name Eberhart, Stephanie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1073623948 NPPES
Virginia Other 2306602144 LICENSE #
Virginia Other 06003225A LICENSE #

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