Individual
CHARLES E. EBERLY
Active
Individual
CHARLES E. EBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
021786
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130023837
RAILROAD MEDICARE
LA
05
—
1691721
—
LA
Enumeration date
10/19/2005
Last updated
03/19/2014
Update your record
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