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Contact Information

JOAN E EBBLIE, LAC, RN
29690 STATE RT. 180
WATERTOWN, NY13601
 Phone: 315-658-2110
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
 

General Practice

163WG0000X
Indicates primary specialty

NPI Profile & details for JOAN E EBBLIE · (Female)

NPI # 1164853503
Status Active
Credentials LAC, RN
Entity Individual
Enumeration date 12/11/2013
Last updated 12/11/2013 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 003092-1
  • NY License # 274794-1
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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