John L. Eberhart CAC-I
Peer Specialist in Detroit, MI(View on Map)
Full Name
John Lewis Eberhart CAC-I
NPI Number
1043302730
NPI Type
Individual Provider
Gender
Male
Enumeration Date
09/29/2006
Specialties
(Taxonomies)Code
175T00000X
101YA0400X
Primary Taxonomy
Yes
No
Licenses
State
Michigan
License Number
1-04192
Contact
Information
Purpose
Mailing
Location
Address
1121 E MCNICHOLS RD
1121 E MCNICHOLS RD
City
Detroit
Detroit
State
MI
MI
Postal Code
48203-2857
48203-2857
Country
US
US
Telephone Number
(313) 365-3100
(313) 365-3100
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/18/2019