Eckerling, Garrett M.
Eckerling, Garrett M. is an sole proprietor health care provider with primary practice located at 111 Bank St Ste 256 , Grass Valley CA 95945-6518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eckerling, Garrett M. can be contacted via phone (530) 277-5207.Contact Information
Primary practice address
111 Bank St Ste 256
Grass Valley CA 95945-6518
Phone: (530) 277-5207
Fax: (530) 432-3130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A61177 | California |
Profile Details
| NPI number | 1215937388 |
|---|---|
| LBN Legal business name | Eckerling, Garrett M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Aug 7th, 2018 - about 7 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 | 1215937388 | NPPES |
| California | Other | 05D0947254 | FEDERAL CLIA # |
| California | Other | 00A611770 | FEDERAL CLIA # |
| California | MEDICAID | 1215937388 | FEDERAL CLIA # |
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