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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 9 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 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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