Eck, Jeffrey A.

Eck, Jeffrey A. is an individual health care provider with primary practice located at 2824 Elkhart Rd , Goshen IN 46526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eck, Jeffrey A. can be contacted via phone (574) 535-1700.

Contact Information

Primary practice address
2824 Elkhart Rd Goshen IN 46526
Fax: (574) 535-1799
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01037711A Indiana

Profile Details

NPI number 1073512703
LBN Legal business name Eck, Jeffrey A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Apr 25th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073512703 NPPES
Indiana Other P01319982 RR MEDICARE
Indiana Other 000000109325 RR MEDICARE
Indiana MEDICAID 100475080A RR MEDICARE

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