Ebersberger, John Matthew

Ebersberger, John Matthew is an sole proprietor health care provider with primary practice located at 3700 Business Dr Ste 130 , Sacramento CA 95820-2164. He recently has only one registered license in Agencies / Case Management, which is considered as his primary health care specialty. Ebersberger, John Matthew can be contacted via phone (916) 734-5819.

Contact Information

Primary practice address
3700 Business Dr Ste 130 Sacramento CA 95820-2164
Phone: (916) 734-5819
Fax: (916) 734-0616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X LCS18955 California

Profile Details

NPI number 1891853289
LBN Legal business name Ebersberger, John Matthew
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Jul 9th, 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 1891853289 NPPES
California MEDICAID 171M00000X
California MEDICAID 101YP25DOX

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