Male or Other

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

Provider Address

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