Ebersole, Kurt L

Ebersole, Kurt L is an individual health care provider with primary practice located at 15840 Medical Drive South Suite A, Findlay OH 45840. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ebersole, Kurt L can be contacted via phone (419) 422-6190.

Contact Information

Primary practice address
15840 Medical Drive South Suite A Findlay OH 45840
Phone: (419) 422-6190
Fax: (419) 423-3235
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3408 Ohio

Profile Details

NPI number 1790785210
LBN Legal business name Ebersole, Kurt L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Mar 7th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790785210 NPPES
Ohio Other 000000129592 ANTHEM BC/BS
Ohio Other 4628541 ANTHEM BC/BS
Ohio Other 3408 ANTHEM BC/BS
Ohio MEDICAID 0893083 ANTHEM BC/BS

Popular Providers