Eckelman, John David
Eckelman, John David is an individual health care provider with primary practice located at 62 Derby St Ste 13, Hingham MA 02043. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Eckelman, John David can be contacted via phone (781) 749-4600.Contact Information
Primary practice address
62 Derby St Ste 13
Hingham MA 02043
Phone: (781) 749-4600
Fax: (781) 741-8341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3048 | Massachusetts |
Profile Details
| NPI number | 1174534093 |
|---|---|
| LBN Legal business name | Eckelman, John David |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1174534093 | NPPES |
| Massachusetts | MEDICAID | 0516937 | |
| Massachusetts | Other | 720120 | |
| Massachusetts | Other | 4200242 | |
| Massachusetts | Other | 005705 | |
| Massachusetts | Other | ECW03181 | |
| Massachusetts | Other | 04343088005 | |
| Massachusetts | Other | 32502MS |
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