Bruce W. Ebert is a Forensic in Roseville, California. Bruce W. Ebert practices all healthcare services and medical treatments related to Forensic. The NPI Number for Bruce W. Ebert is 1124243076. The last update date is 2007-07-08.
Bruce W. Ebert's current location address is 775 Sunrise Ave, Roseville, California. You can contact this provider via phone number 9167817875 and fax number 9167812632. The mailing address for Bruce W. Ebert is 775 Sunrise Ave, Roseville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce W. Ebert |
|---|---|
| Address | 775 Sunrise Ave, Roseville, California |
| Phone Number | 9167817875 |
| Fax Number | 9167812632 |
| Sole Proprietor | Y |
| Credentials | PH.D., J.D |
NPI Number Detail
| NPI Number | 1124243076 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 775 Sunrise Ave |
|---|---|
| City | Roseville |
| State | California (CA) |
| Post Code | 956614523 |
| Phone Number | 9167817875 |
| Fax Number | 9167812632 |
Provider's Primary Taxonomy Detail
| Speciality | Forensic |
|---|---|
| Taxonomy | 103Tf0200X |
| Licence No | PSY7461 |
|
Definition: A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. |
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Post Comment/ Review Below
What is the Bruce W. Ebert's unique identification number?
The Bruce W. Ebert has been assigned the NPI (National Provider Identifier) Number 1124243076 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Bruce W. Ebert located?
The Bruce W. Ebert is located at 775 Sunrise Ave, Roseville, CA 956614523.
What is the Bruce W. Ebert's area of specialization and corresponding taxonomy classification?
The Bruce W. Ebert's specialty field is Forensic, and it falls under the taxonomy code 103Tf0200X, which categorizes healthcare providers based on their specialties.
On what date did the Bruce W. Ebert receive its 1124243076 assignment from the Centers for Medicare & Medicaid Services?
The Bruce W. Ebert was assigned its 1124243076 by the Centers for Medicare & Medicaid Services on 2007-04-16.
As of what date was the information pertaining to Bruce W. Ebert, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bruce W. Ebert, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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