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
Phone: (570) 275-3789
Fax: (570) 275-6673
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821085572 | NPPES |
Pennsylvania | MEDICAID | 000599065 |
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