Eberle, Andrea J
Eberle, Andrea J is an individual health care provider with primary practice located at 1109 Burman Dr , Jacksonville AR 72076-4386. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Eberle, Andrea J can be contacted via phone (501) 982-7575.Contact Information
Primary practice address
1109 Burman Dr
Jacksonville AR 72076-4386
Phone: (501) 982-7575
Fax: (501) 982-7510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | E-2034 | Arkansas |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207RA0000X | E-2034 | Arkansas |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | E-2034 | Arkansas |
Profile Details
| NPI number | 1588748990 |
|---|---|
| LBN Legal business name | Eberle, Andrea J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Aug 27th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588748990 | NPPES |
| Arkansas | MEDICAID | 135989001 | |
| Arkansas | Other | 5L052 |
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