Eberly, Robert Shane

Eberly, Robert Shane is an individual health care provider with primary practice located at Branch Medical Clinic Hansen Bldg 2384, Fpo AP 96384-0068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Eberly, Robert Shane can be contacted via phone (619) 261-7754.

Contact Information

Primary practice address
Branch Medical Clinic Hansen Bldg 2384 Fpo AP 96384-0068
Phone: (619) 261-7754
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 0101244243 Virginia

Profile Details

NPI number 1184880221
LBN Legal business name Eberly, Robert Shane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2008
Last updated Feb 23rd, 2023 - about last year

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 1184880221 NPPES
Virginia Other 0101244243 STATE LICENSE NUMBER

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