Individual
DR. JAKE EBERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC (CHIROPRACTIC)
Contact information
Practice address
765 CENTER ST, LEWISTON, NY 14092-1763
(585) 698-0400
Mailing address
765 CENTER ST, LEWISTON, NY 14092-1763
(585) 698-0400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
013662
NY
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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