Ebke, Russell J
Ebke, Russell J is an individual health care provider with primary practice located at 2910 Betten Dr , Crete NE 68333-3084. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ebke, Russell J can be contacted via phone (402) 826-2102.Contact Information
Primary practice address
2910 Betten Dr
Crete NE 68333-3084
Phone: (402) 826-2102
Fax: (402) 826-7950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 17808 | Nebraska |
Profile Details
| NPI number | 1548210438 |
|---|---|
| LBN Legal business name | Ebke, Russell J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Sep 8th, 2010 - about 15 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 | 1548210438 | NPPES |
| Nebraska | Other | 2703 | MIDLANDS CHOICE |
| Nebraska | Other | 0100476 | MIDLANDS CHOICE |
| Nebraska | Other | 35706 | MIDLANDS CHOICE |
| Nebraska | Other | 0100475 | MIDLANDS CHOICE |
| Nebraska | Other | 080178127 | MIDLANDS CHOICE |
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