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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 16 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 1588748990 NPPES
Arkansas MEDICAID 135989001
Arkansas Other 5L052

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