- Practice location
- 4755 Ogletown Stanton RD Ste 1070, Newark, DE 19718-2200
- Phone
- 302-733-1663
- Fax
- 302-733-4533
- Last updated
- November 29, 2024
Jacob Mark Ebner is a Physician Assistant based in Newark, DE. Jacob Mark Ebner practices in Newark, DE and has the professional credentials of PA-C. The NPI Number for Jacob Mark Ebner is 1316627813 and holds a License No. C5-0012175 (DE). The current practice location address for Jacob Mark Ebner is 4755 Ogletown Stanton RD Ste 1070, Newark, DE 19718-2200 and can be reached out via phone at 302-733-1663 and via fax at 302-733-4533.
Provider Profile Details
- NPI Number
- 1316627813
- Provider Name
- Jacob Mark Ebner
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4755 Ogletown Stanton RD Ste 1070, Newark, DE 19718-2200
- Phone Number
- 302-733-1663
- Fax Number
- 302-733-4533
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 19, 2023
- Last Update Date
- November 29, 2024
- Certification Date
- November 29, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4755 Ogletown Stanton RD Ste 1070
Newark, DE 19718-2200 - City
- Newark
- State
- Delaware
- Zip
- 19718-2200
- Phone Number
- 302-733-1663
- Fax Number
- 302-733-4533
Provider Business Mailing Address Details
- Address
- 107 Cedar RD
Pittsgrove, NJ 08318-3830 - City
- Pittsgrove
- State
- NJ
- Zip
- 08318-3830
- Phone Number
- 856-275-5492
License Information
- License Number
- C5-0012175
- License State
- DE
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Newark, DE
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- Arianna FerraroPhysician Assistant · NPI 1396580569
- Jakub Trawinski, PA-CPhysician Assistant · NPI 1093479842
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Frequently Asked Questions
What is the NPI number of Jacob M Ebner, PA-C?
The NPI number of Jacob M Ebner, PA-C is 1316627813. It was assigned on July 19, 2023 and is currently active in the NPPES registry.
What is the specialty of Jacob M Ebner, PA-C?
Jacob M Ebner, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in DE under license number C5-0012175.
Where does Jacob M Ebner, PA-C practice?
The practice location is 4755 Ogletown Stanton RD Ste 1070, Newark, DE 19718-2200. The office can be reached at 302-733-1663 (phone) or 302-733-4533 (fax).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316627813 directly on the NPPES registry website.