Aric Jay Eckhardt, M.D., S.C.

LBN: Aric Jay Eckhardt, M.D., S.C.
Aric Jay Eckhardt, M.D., S.C. is an health care organization with primary practice located at 3900 28Th Avenue Dr Suite 105, Moline IL 61265-5536. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Aric Jay Eckhardt, M.D., S.C. can be contacted via phone (309) 764-4650, or through Eckhardt, Aric Jay via phone (309) 764-4650.

Contact Information

Primary practice address
3900 28Th Avenue Dr Suite 105 Moline IL 61265-5536
Phone: (309) 764-4650
Fax: (866) 633-1827
Website:
Map and Directions
Authorized official contact:
Name: Eckhardt, Aric Jay M.D., F.A.C.S.
Phone: (309) 764-4650

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 036099360 Illinois

Profile Details

NPI number 1053585513
LBN Legal business name Aric Jay Eckhardt, M.D., S.C.
DBA Doing business as
Authorized official Eckhardt, Aric Jay M.D., F.A.C.S.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2008
Last updated Nov 25th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053585513 NPPES
Illinois MEDICAID 036099360

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