institution
Terry Ebert, Md, Inc
Medical Specialty Clinic/Center in Munster, Indiana
NPI 1417173717

Terry Ebert, Md, Inc is a Medical Specialty Clinic/Center based in Munster, IN and is specialized in Medical Specialty. Terry Ebert, Md, Inc practices in Munster, IN. The NPI Number for Terry Ebert, Md, Inc is 1417173717 and holds a License No. 01022150A (Indiana).

The current practice location address for Terry Ebert, Md, Inc is 509 Ridge Rd, Munster, IN and can be reached out via phone at 219-836-1050 and via fax at 219-836-4969.

Location: 509 Ridge Rd, Munster, IN, 46321-1643
institution
Provider Profile Details
NPI Number
1417173717
Provider Name
Terry Ebert, Md, Inc
Credential
Provider Entity Type
Organization
Address
509 Ridge Rd, Munster, IN, 46321-1643
Phone Number
219-836-1050
Fax Number
219-836-4969
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01022150A 01 PHYSICIAN LICENSE NUMBER
50001124A 01 IN CORPORATION REGISTRATION
institution
Provider Business Practice Location Address Details
Address
509 Ridge Rd
City
State
Zip
46321-1643
Phone Number
219-836-1050
Fax Number
219-836-4969
person
Provider Business Mailing Address Details
Address
509 Ridge Rd
City
State
Zip
46321-1643
Phone Number
219-836-1050
Fax Number
219-836-4969
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
01022150A (Indiana)
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 public health needs (e.g., infectious diseases or breast and cervical cancer).
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