Eberly, John B
Eberly, John B is an sole proprietor health care provider with primary practice located at 4501 Old Spartanburg Rd , Taylors SC 29687-4105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eberly, John B can be contacted via phone (864) 268-1119.Contact Information
Primary practice address
4501 Old Spartanburg Rd
Taylors SC 29687-4105
Phone: (864) 268-1119
Fax: (864) 268-1714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 14967 | South Carolina |
Profile Details
| NPI number | 1093719320 |
|---|---|
| LBN Legal business name | Eberly, John B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2005 |
| Last updated | Jun 24th, 2015 - about 10 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 | 1093719320 | NPPES |
| South Carolina | Other | 0103038 | CAROLINA CARE PLAN |
| South Carolina | Other | 1035477 | CAROLINA CARE PLAN |
| South Carolina | MEDICAID | 149672 | CAROLINA CARE PLAN |
| South Carolina | Other | 57-0947101 | CAROLINA CARE PLAN |
| South Carolina | Other | 49218 | CAROLINA CARE PLAN |
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