Individual provider · Type 1 NPI

Isaiah John Ebert

Student in an Organized Health Care Education/Training Program · Oklahoma City, OK

NPI number 1104582030 Active

Practice location

1110 N Lee Ave
Oklahoma City, OK 73103-2612

Call (614) 285-8072 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104582030

Isaiah John Ebert's National Provider Identifier is 1104582030, issued on Nov 15, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oklahoma City, OK. The record was last updated on May 14, 2025.