JUSTIN EBERT P.A. NPI 1942379391

NPI Information

Justin Ebert, P.A. is a medical physician assistant in Ukiah, CA with 20 years of experience. Justin Ebert, P.A. NPI is 1942379391. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

333 LAWS AVE
UKIAH, CA
ZIP 95482-540
Phone: (707) 468-1010
Fax: (707) 468-0174

The NPI 1942379391 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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