Eberle, Mark Thomas

Eberle, Mark Thomas is an individual health care provider with primary practice located at 103 Walker Dr , Edinboro PA 16412-2237. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Eberle, Mark Thomas can be contacted via phone (814) 734-7444.

Contact Information

Primary practice address
103 Walker Dr Edinboro PA 16412-2237
Phone: (814) 734-7444
Fax: (814) 734-8509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT006496L Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X RT000110A Pennsylvania

Profile Details

NPI number 1457310666
LBN Legal business name Eberle, Mark Thomas
Credentials PT ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 21st, 2010 - about 14 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 1457310666 NPPES
Pennsylvania MEDICAID 0015328200004

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