Eckerd, Paul T

Eckerd, Paul T is an individual health care provider with primary practice located at 6049 Harbour Park Drive , Midlothian VA 23112. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Eckerd, Paul T can be contacted via phone (804) 639-2359.

Contact Information

Primary practice address
6049 Harbour Park Drive Midlothian VA 23112
Phone: (804) 639-2359
Fax: (804) 639-2029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305204538 Virginia

Profile Details

NPI number 1952364879
LBN Legal business name Eckerd, Paul T
Credentials PT CERT MDT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Apr 22nd, 2008 - about 16 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 1952364879 NPPES
Virginia MEDICAID 010245605
Virginia Other 7212774
Virginia Other P00393927
Virginia Other 192944

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