Ebersole, John Douglas
Ebersole, John Douglas is an sole proprietor health care provider with primary practice located at 3601 W 13 Mile Rd , Royal Oak MI 48073-6712. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Ebersole, John Douglas can be contacted via phone (248) 898-6064.Contact Information
Primary practice address
3601 W 13 Mile Rd
Royal Oak MI 48073-6712
Phone: (248) 898-6064
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 4301074124 | Michigan |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 4301074124 | Michigan |
Profile Details
NPI number | 1023185287 |
---|---|
LBN Legal business name | Ebersole, John Douglas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 30th, 2006 |
Last updated | Oct 22nd, 2020 - 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.
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