Eck, Jennifer Lauren

Eck, Jennifer Lauren is an individual health care provider with primary practice located at 430 W Bandera Rd Ste 9 , Boerne TX 78006-2521. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Eck, Jennifer Lauren can be contacted via phone (830) 816-1717.

Contact Information

Primary practice address
430 W Bandera Rd Ste 9 Boerne TX 78006-2521
Phone: (830) 816-1717
Fax: (830) 816-2103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X T1688 Texas

Profile Details

NPI number 1215434527
LBN Legal business name Eck, Jennifer Lauren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2018
Last updated Mar 7th, 2023 - about 2 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 1215434527 NPPES
Texas MEDICAID 1Q5002

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