Ebert, Alfred Ralph

Ebert, Alfred Ralph is an individual health care provider with primary practice located at 442 Professional Park Rd , Clinton SC 29325-7626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ebert, Alfred Ralph can be contacted via phone (864) 938-0912.

Contact Information

Primary practice address
442 Professional Park Rd Clinton SC 29325-7626
Phone: (864) 938-0912
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 16589 South Carolina

Profile Details

NPI number 1336231851
LBN Legal business name Ebert, Alfred Ralph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 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 1336231851 NPPES
South Carolina MEDICAID 421504

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