Ebersole, Kyle T

Ebersole, Kyle T is an individual health care provider with primary practice located at Dept Of Kines & Com Hlth, Freer Hall 209, Mc-052 University Of Illinois, Urbana IL 61801. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Ebersole, Kyle T can be contacted via phone (217) 333-9517.

Contact Information

Primary practice address
Dept Of Kines & Com Hlth, Freer Hall 209, Mc-052 University Of Illinois Urbana IL 61801
Phone: (217) 333-9517
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Illinois

Profile Details

NPI number 1972637858
LBN Legal business name Ebersole, Kyle T
Credentials PHD, ATC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Jul 8th, 2007 - about 18 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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