Eby, Samuel R

Eby, Samuel R is an individual health care provider with primary practice located at 7836 W Jefferson Blvd Ste 100 , Fort Wayne IN 46804-4165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Eby, Samuel R can be contacted via phone (260) 494-3484.

Contact Information

Primary practice address
7836 W Jefferson Blvd Ste 100 Fort Wayne IN 46804-4165
Phone: (260) 494-3484
Fax: (260) 969-0188
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01032985 Indiana

Profile Details

NPI number 1043262447
LBN Legal business name Eby, Samuel R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Nov 16th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043262447 NPPES
Indiana MEDICAID 100085970

Popular Providers