Ebling, Kent Richard

Ebling, Kent Richard is an sole proprietor health care provider with primary practice located at 11 Se 8Th St , Pompano Beach FL 33060-8439. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ebling, Kent Richard can be contacted via phone (954) 782-2066.

Contact Information

Primary practice address
11 Se 8Th St Pompano Beach FL 33060-8439
Fax: (954) 782-2066
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH0006058 Florida

Profile Details

NPI number 1013905223
LBN Legal business name Ebling, Kent Richard
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2005
Last updated Sep 19th, 2011 - about 13 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 1013905223 NPPES
Florida MEDICAID 382273700
Florida Other 350032963

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