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1609874858

NPI Code Detail

MEDICARE: DAVID M EBBITT MD

MEDICARE: DAVID M EBBITT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	20107	WV
2	207P00000X	Emergency Medicine Physician	MD428228	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00309879	OTHER		RAILROAD MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609874858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID M EBBITT MD

Provider Business Mailing Address
First Line	:	112 N SEVENTH STREET
Second Line	:
City	:	CHAMBERSBURG
State	:	PA
Zip	:	17201
Country	:	US
Telephone Number	:	717-267-7146
Fax Number	:	717-267-7728

Provider Business Practice Location Address
First Line	:	112 N 7TH ST
Second Line	:
City	:	CHAMBERSBURG
State	:	PA
Zip	:	17201-1720
Country	:	US
Telephone Number	:	717-267-7146
Fax Number	:	717-267-7728

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	02/13/2020

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Directions to “ DAVID M EBBITT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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