Individual
DR. COLLEEN K EBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 DELAFIELD RD STE 2030, PITTSBURGH, PA 15215-3214
(412) 782-2101
(412) 782-2108
Mailing address
600 WATERCREST WAY, SUITE 630, CHESWICK, PA 15024-1370
(724) 274-9451
(724) 274-9370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD056817L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015936470002
—
PA
01
—
080112250
RAILROAD MEDICARE
—
01
—
175950
HIGHMARK
PA
Enumeration date
06/06/2006
Last updated
01/23/2008
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