Eckelman, Bronna L

Eckelman, Bronna L is an individual health care provider with primary practice located at 25A June Street , Sanford ME 04073. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Eckelman, Bronna L can be contacted via phone (207) 324-1488.

Contact Information

Primary practice address
25A June Street Sanford ME 04073
Phone: (207) 324-1488
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0437 P New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA7900 Maine
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA7900 Maine

Profile Details

NPI number 1356363220
LBN Legal business name Eckelman, Bronna L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated Mar 11th, 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 1356363220 NPPES
New Hampshire MEDICAID 30332203

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