Eberle, Scott W.

Eberle, Scott W. is an individual health care provider with primary practice located at 416 Payran St , Petaluma CA 94952-5907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eberle, Scott W. can be contacted via phone (707) 778-6242.

Contact Information

Primary practice address
416 Payran St Petaluma CA 94952-5907
Phone: (707) 778-6242
Fax: (707) 778-0144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G607087 California

Profile Details

NPI number 1184681165
LBN Legal business name Eberle, Scott W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 8th, 2007 - about 17 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 1184681165 NPPES
California MEDICAID 00607870

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