Eubanks, Bethany Ann

Eubanks, Bethany Ann is an individual health care provider with primary practice located at 3434 21St St , San Francisco CA 94110-2213. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Eubanks, Bethany Ann can be contacted via phone (415) 285-6666.

Contact Information

Primary practice address
3434 21St St San Francisco CA 94110-2213
Phone: (415) 285-6666
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X L6878 Texas

Profile Details

NPI number 1487610655
LBN Legal business name Eubanks, Bethany Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Aug 24th, 2013 - about 12 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 1487610655 NPPES
Texas MEDICAID 142233901

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