Paul Ebben, H.I.S.

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

1213-060 Issued in WI

Practice address

1724 Main St
Marinette, WI 54143-1808

Phone

(715) 732-2220

NPI assigned

Oct 26, 2007

Last updated

Oct 26, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Audiology Services Company USA, LLC

  • Hearing and Speech Clinic/Center
  • Melbourne, FL
  • NPI 1902318108
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1245419209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 CORPORATE DR",
            "address_2": "SUITE 1",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539161281",
            "fax_number": "920-887-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 MAIN ST",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541431808",
            "telephone_number": "715-732-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBBEN",
        "first_name": "PAUL",
        "credential": "H.I.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "1213-060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42836800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Dreier, MSW APSW
• Duda Chiropractic, S.C.
• Charles R Duda, D.C.
• Janet Dunlap, PT, DPT
• Dragana Durdevic
• Jessica Ann Ecker, APNP
• Mohamed S El-Jack
• Karen Lea Eldevick, MD
• Jennifer Eldridge
• Khaled Elkady Hussein, M.D

• Hearing Instrument Specialist in Marinette, WI
• Providers in Marinette, WI by specialty
• Hearing Instrument Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.