Ebert, Patrick J

Ebert, Patrick J is an individual health care provider with primary practice located at 2001 Coolidge Rd , East Lansing MI 48823-1378. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ebert, Patrick J can be contacted via phone (517) 337-1668.

Contact Information

Primary practice address
2001 Coolidge Rd East Lansing MI 48823-1378
Phone: (517) 337-1668
Fax: (517) 337-1779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003247 Michigan

Profile Details

NPI number 1538142047
LBN Legal business name Ebert, Patrick J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Sep 20th, 2022 - about 2 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 1538142047 NPPES
Michigan Other 410033515 RAILROAD MEDICARE
Michigan Other PE003247 RAILROAD MEDICARE
Michigan MEDICAID 2859332 RAILROAD MEDICARE
Michigan Other 200000001919 RAILROAD MEDICARE

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