Terry Ebert, Md, Inc in Munster - Medical Specialty
Terry Ebert, Md, Inc - NPI 1417173717
Terry Ebert, Md, Inc is a Medical Specialty in Munster, Indiana. Terry Ebert, Md, Inc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Terry Ebert, Md, Inc is 1417173717. The last update date is 2023-03-07.
Terry Ebert, Md, Inc's current location address is 509 Ridge Rd, Munster, Indiana. You can contact this provider via phone number 2198361050 and fax number 2198364969. The mailing address for Terry Ebert, Md, Inc is 509 Ridge Rd, Munster, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Terry Ebert, Md, Inc |
|---|---|
| Address | 509 Ridge Rd, Munster, Indiana |
| Phone Number | 2198361050 |
| Fax Number | 2198364969 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ebert W Terry |
| Credentials | M.D. |
| Telephone Number | 2198361050 |
NPI Number Detail
| NPI Number | 1417173717 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 509 Ridge Rd |
|---|---|
| City | Munster |
| State | Indiana (IN) |
| Post Code | 463211643 |
| Phone Number | 2198361050 |
| Fax Number | 2198364969 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | 01022150A |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01022150A | PHYSICIAN LICENSE NUMBER | ||
| 50001124A | IN | CORPORATION REGISTRATION |
Post Comment/ Review Below
What is the unique identifier code issued to Terry Ebert, Md, Inc by the Centers for Medicare & Medicaid Services?
The Terry Ebert, Md, Inc has been assigned the NPI (National Provider Identifier) 1417173717. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Terry Ebert, Md, Inc located?
The Terry Ebert, Md, Inc is located at 509 Ridge Rd, Munster, IN 463211643.
What is the Terry Ebert, Md, Inc's area of specialization and corresponding taxonomy classification?
The Terry Ebert, Md, Inc's specialty field is Medical Specialty, and it falls under the taxonomy code 261Qm2500X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417173717 to Terry Ebert, Md, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1417173717 to Terry Ebert, Md, Inc on 2007-04-17.
When was the information pertaining to Terry Ebert, Md, Inc most recently updated or revised?
The details related to Terry Ebert, Md, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.