Ebert, Justin
Ebert, Justin is an individual health care provider with primary practice located at 333 Laws Ave , Ukiah CA 95482-6540. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Ebert, Justin can be contacted via phone (707) 468-1010.Contact Information
Primary practice address
333 Laws Ave
Ukiah CA 95482-6540
Phone: (707) 468-1010
Fax: (707) 468-0174
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA17809 | California |
Profile Details
NPI number | 1942379391 |
---|---|
LBN Legal business name | Ebert, Justin |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 7th, 2006 |
Last updated | Jul 8th, 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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