Eckenrode, John L.

Eckenrode, John L. is an individual health care provider with primary practice located at 11212 E 48Th St , Tulsa OK 74146. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Eckenrode, John L. can be contacted via phone (918) 556-3000.

Contact Information

Primary practice address
11212 E 48Th St Tulsa OK 74146
Fax: (918) 556-7052
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 4301043836 Michigan
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 25942 Oklahoma

Profile Details

NPI number 1093782245
LBN Legal business name Eckenrode, John L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jul 19th, 2022 - about 2 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 1093782245 NPPES
Oklahoma MEDICAID 200126310A

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