Search › Illinois › 225700000X
Brenton Ebersole, LMT
NPI 1437699857 · on the registry since 2017 · sole proprietor
Practice
- Address
- 8 N Missouri Ave
Belleville, IL 62220 - Phone
- (618) 310-5995
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 225700000X
- Licence states on file
- IL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-03-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois