Eckel, Timothy Brainerd

Eckel, Timothy Brainerd is an sole proprietor health care provider with primary practice located at 986 Bloom Rd , Danville PA 17821-6758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eckel, Timothy Brainerd can be contacted via phone (570) 275-3789.

Contact Information

Primary practice address
986 Bloom Rd Danville PA 17821-6758
Fax: (570) 275-6673
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD019417E Pennsylvania

Profile Details

NPI number 1821085572
LBN Legal business name Eckel, Timothy Brainerd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2005
Last updated Nov 7th, 2020 - about 5 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 1821085572 NPPES
Pennsylvania MEDICAID 000599065

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