Individual
DR. DANIEL C EBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
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
02001643
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
02001643A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000332839
ANTHEM BLUE CROSS BLUE SH
IN
01
—
200021790
RAILROAD MEDICARE
IN
05
—
200042870
—
IN
05
—
200042870A
—
IN
01
—
5160900001
MEDICARE DME
IN
Enumeration date
05/27/2005
Last updated
01/31/2024
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