Ebert, John Timothy
Ebert, John Timothy is an individual health care provider with primary practice located at 105B West 18Th Street , Hopkinsville KY 42240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Ebert, John Timothy can be contacted via phone (270) 889-0567.Contact Information
Primary practice address
105B West 18Th Street
Hopkinsville KY 42240
Phone: (270) 889-0567
Fax: (270) 889-9048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 31114 | Kentucky |
Profile Details
| NPI number | 1114071255 |
|---|---|
| LBN Legal business name | Ebert, John Timothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1114071255 | NPPES |
| Kentucky | MEDICAID | 64311145 | |
| Kentucky | MEDICAID | 000000054212 |
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