Eberle, Jon Vincent

Eberle, Jon Vincent is an individual health care provider with primary practice located at 4747 N Ocean Drive Suite 261, Lauderdale By The Sea FL 33308-2956. 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. Eberle, Jon Vincent can be contacted via phone (954) 545-4922.

Contact Information

Primary practice address
4747 N Ocean Drive Suite 261 Lauderdale By The Sea FL 33308-2956
Phone: (954) 545-4922
Fax: (954) 545-4923
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1447466123
LBN Legal business name Eberle, Jon Vincent
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Jun 22nd, 2011 - about 13 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 1447466123 NPPES
Florida Other 17504 LICENSE#

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