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MICHAEL RALPH EBERHARDT MS, LAT, ATC, EMT-B

>> Emergency Medical Technician, Basic >> Emergency Medical Service Providers

Registrant NPI Number: 1518394519

Individual Registrant:
 MICHAEL RALPH EBERHARDT MS, LAT, ATC, EMT-B
Gender: M
Sole Proprietor

Location and contact information for practice:
1630 18TH AVE  WALL TOWNSHIP, NJ 07719-3744 US
Tel: 732-556-2066  Fax: --

Contact information for business:
1630 18TH AVE  WALL TOWNSHIP, NJ 07719-3744 US
Tel: 732-556-2066  Fax: --

Registration Information:
NPI: 1518394519
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N146N00000XEmergency Medical Service Providers
Emergency Medical Technician, Basic
NJ31868
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
NJ25MT00184900

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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