Emil Ethan Ebner
DO | Pediatrics | Male
Emil Ethan Ebner, DO is a Saint Joseph, Michigan based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Emil Ethan Ebner is
1234 Napier Ave, Saint Joseph, Michigan - 49085. He can be contacted on phone at
269-983-8300 and fax number 269-985-4523.
Emil Ethan Ebner is a sole proprietor of his business.
NPI number (Unique professional ID) for Emil Ethan Ebner is
1740541176 which was assigned by NPPES on 01 Jun, 2012 and it was last updated on 16 Jul, 2018.
Emil Ethan Ebner license number is
5101020015 for Pediatrics (208000000X) in Michigan.
Emil Ethan Ebner is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Emil Ethan Ebner basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Emil Ethan Ebner |
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| Credential : | DO |
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| Gender : | Male |
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Business Address:
Emil Ethan Ebner address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1234 Napier Ave
Saint Joseph, MI, 49085
United States |
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| Phone Number : | 269-983-8300 |
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| Fax Number : | 269-985-4523 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1740541176 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Jun, 2012 |
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| Last Updated On : | 16 Jul, 2018 |
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Medicare Participation:
Emil Ethan Ebner participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 0143451708 |
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| Medicare Enrollment ID : | I20160628000351 |
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| Primary Specialty : | Internal Medicine |
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| Medical School : | Michigan State University College Of Osteopathic Medicine |
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| Graduation Year : | 2012 |
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| Accepts Medicare? | Yes. Emil Ethan Ebner accepts medicare insurance. |
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Group Practice Association:
Emil Ethan Ebner is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Emil Ethan Ebner is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Lakeland Medical Practices | 1658427042 | 279 | 1234 Napier Ave
Saint Joseph, MI - 490852112
Ph: 2699838300 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Emil Ethan Ebner are as mentioned. Primary taxonomy code for Emil Ethan Ebner, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 207R00000X | Internal Medicine | No | 5101020015 | MI |
| 208000000X | Pediatrics | Yes | 5101020015 | MI |
| 208M00000X | Hospitalist | No | 5101020015 | MI |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1000 OAKLAND DR,
KALAMAZOO, MI, 49008-1282
United States | KALAMAZOO, MI | 269-337-4400 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1234 Napier Ave
Saint Joseph, MI, 49085-2112
United States |
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| Phone Number : | 269-982-4862 |
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| Fax Number : | 269-985-4535 |
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Business Location:
Patients can refer following map for directions to
Emil Ethan Ebner practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.