Ebersole, Donald R
Ebersole, Donald R is an individual health care provider with primary practice located at 2014 S Main St Suite B, Goshen IN 46526-5220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ebersole, Donald R can be contacted via phone (574) 533-8639.Contact Information
Primary practice address
2014 S Main St Suite B
Goshen IN 46526-5220
Phone: (574) 533-8639
Fax: (574) 533-9542
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01042385A | Indiana |
Profile Details
| NPI number | 1932179587 |
|---|---|
| LBN Legal business name | Ebersole, Donald R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jan 12th, 2021 - about 4 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 | 1932179587 | NPPES |
| Indiana | MEDICAID | 100377500 |
Popular Providers
-
Haimes, Christina
2016 S Main St , Goshen IN 46526-5236 -
Gillin, Rose M
400 W Lincoln Ave , Goshen IN 46526-2413 -
Bontrager, Cynthia
2120 Rieth Blvd Suite A, Goshen IN 46526-5843 -
Nush, Timothy W
2016 S Main St , Goshen IN 46526-5236 -
Hirschler, Lenora R.
2014 S Main St Ste B , Goshen IN 46526-5235 -
Buller, Paul H
1302 College Ave Suite 1, Goshen IN 46526-5113 -
Escovar, Fernando S.
2120 Rieth Blvd Ste C , Goshen IN 46526-5858 -
Munkel, Laura E
2120 Rieth Blvd Suite A, Goshen IN 46526-5843