Eckardt, Shea Michael
Eckardt, Shea Michael is an sole proprietor health care provider with primary practice located at 430 Morton Plant St Suite 405, Clearwater FL 33756-3398. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Eckardt, Shea Michael can be contacted via phone (727) 443-0611.Contact Information
Primary practice address
430 Morton Plant St Suite 405
Clearwater FL 33756-3398
Phone: (727) 443-0611
Fax: (727) 461-5493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 247067-1 | New York |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME 106174 | Florida |
Profile Details
| NPI number | 1730363912 |
|---|---|
| LBN Legal business name | Eckardt, Shea Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 23rd, 2007 |
| Last updated | Nov 21st, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730363912 | NPPES |
| Florida | MEDICAID | 001992800 | |
| Florida | Other | P01024473 |
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