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Contact Information

THOMAS P EBERLE JR, MD
915 N GRAND BLVD
SAINT LOUIS, MO63106-1621
 Phone: 502-624-9007
 Fax: 502-624-0252
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for THOMAS P EBERLE JR · (Male)

NPI Number 1902884653
Status Active
Credentials MD
Entity Individual
Enumeration date 01/04/2006
Last updated 12/09/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • IN License # 01054678A
  • IN Medicaid 200885150
  • KY Medicaid 7100046060
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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