Ecker, Bruce Michael
Ecker, Bruce Michael is an sole proprietor health care provider with primary practice located at 780 Chestnut St Suite 12, Springfield MA 01107-1610. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Ecker, Bruce Michael can be contacted via phone (413) 733-8445.Contact Information
Primary practice address
780 Chestnut St Suite 12
Springfield MA 01107-1610
Phone: (413) 733-8445
Fax: (413) 733-8429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 6377 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6377 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 6377 | Massachusetts |
| Behavioral Health & Social Service Providers / School | 103TS0200X | 6377 | Massachusetts |
Profile Details
| NPI number | 1366654766 |
|---|---|
| LBN Legal business name | Ecker, Bruce Michael |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1366654766 | NPPES |
| Missouri | Other | 236595 | MBC CORPORATION |
| Missouri | Other | 792894 | MBC CORPORATION |
| Missouri | Other | W05829 | MBC CORPORATION |
| Missouri | Other | 87726 | MBC CORPORATION |
| Missouri | Other | P3447893 | MBC CORPORATION |
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