Individual
JAMES ROBERT EBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1970 S RIDGE RD, GREEN BAY, WI 54304-4125
(920) 430-4888
(920) 430-4889
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7238
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29793
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29793
LICENSE
WI
01
—
354601
AMERICAN BOARD OF FAMILY MEDICINE-SPORTS MEDICINE
—
Enumeration date
12/08/2005
Last updated
05/18/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us