Mark Gerhard Eberhage in Milwaukee - Psychologist
Mark Gerhard Eberhage - NPI 1477544526
Mark Gerhard Eberhage is a Psychologist in Milwaukee, Wisconsin. Mark Gerhard Eberhage practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mark Gerhard Eberhage is 1477544526. The last update date is 2019-07-23.
Mark Gerhard Eberhage's current location address is 1532 E Belleview Pl, Milwaukee, Wisconsin. You can contact this provider via phone number 4142209990 and fax number 4142210001. The mailing address for Mark Gerhard Eberhage is 1532 E Belleview Pl, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Gerhard Eberhage |
|---|---|
| Address | 1532 E Belleview Pl, Milwaukee, Wisconsin |
| Phone Number | 4142209990 |
| Fax Number | 4142210001 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1477544526 |
|---|---|
| Provider Enumeration Date | 2005-10-28 |
| Last Updated Date | 2019-07-23 |
Provider Mailing Address Detail
| Address | 1532 E Belleview Pl |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532113956 |
| Phone Number | 4142209990 |
| Fax Number | 4142210001 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1814 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39107700 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mark Gerhard Eberhage?
The Mark Gerhard Eberhage has been issued the NPI (National Provider Identifier) 1477544526 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Mark Gerhard Eberhage is geographically located?
The Mark Gerhard Eberhage is physically situated at the following location: 1532 E Belleview Pl, Milwaukee, WI, 532113956.
What is Mark Gerhard Eberhage's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Gerhard Eberhage's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477544526 to Mark Gerhard Eberhage?
The Centers for Medicare & Medicaid Services originally issued the 1477544526 to Mark Gerhard Eberhage on 2005-10-28.
When was the Mark Gerhard Eberhage's information last updated?
The Mark Gerhard Eberhage's information was last updated on 2019-07-23.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY