Organization
DANIEL C EBY D.O. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL C EBY D.O. (PRESIDENT)
(812) 482-7441
Entity
Organization
Contact information
Practice address
600 W. 13TH ST., SUITE 200, JASPER, IN 47546-1883
(812) 482-7441
(812) 482-7444
Mailing address
600 W. 13TH ST., SUITE 200, JASPER, IN 47546-1883
(812) 482-7441
(812) 482-7444
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
02001643A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000332839
ANTHEM BLUE CROSS
IN
05
—
200871340A
—
IN
Enumeration date
03/30/2007
Last updated
01/31/2024
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