Individual
DR. PAUL DOUGLAS EBERLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.,DACBN
Contact information
Practice address
412 G AVE, GRUNDY CENTER, IA 50638-1747
(319) 824-3650
(319) 824-6780
Mailing address
PO BOX 52, GRUNDY CENTER, IA 50638-0052
(319) 824-3650
(319) 824-6780
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
04688
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166553
—
IA
Enumeration date
08/18/2006
Last updated
04/13/2012
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