Ebert, Kristin Maureen
Ebert, Kristin Maureen is an individual health care provider with primary practice located at 1675 Highland Ave , Madison WI 53792-5703. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is her primary health care specialty. Ebert, Kristin Maureen can be contacted via phone (608) 263-6420.Contact Information
Primary practice address
1675 Highland Ave
Madison WI 53792-5703
Phone: (608) 263-6420
Fax: (608) 890-9745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 75861 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | 75861 | Wisconsin |
Profile Details
| NPI number | 1275959199 |
|---|---|
| LBN Legal business name | Ebert, Kristin Maureen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2014 |
| Last updated | Apr 22nd, 2024 - about 7 months 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 | 1275959199 | NPPES |
| Ohio | Other | H695240 | MEDICARE-CGS |
| Ohio | MEDICAID | 0395567 | MEDICARE-CGS |
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