Eckert, Blaise C
Eckert, Blaise C is an sole proprietor health care provider with primary practice located at 68 Leonard Street , Belmont MA 02478. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Eckert, Blaise C can be contacted via phone (617) 484-5266.Contact Information
Primary practice address
68 Leonard Street
Belmont MA 02478
Phone: (617) 484-5266
Fax: (617) 484-2739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 15432 | Massachusetts |
Profile Details
| NPI number | 1720096076 |
|---|---|
| LBN Legal business name | Eckert, Blaise C |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Dec 8th, 2009 - about 15 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 | 1720096076 | NPPES |
| Massachusetts | Other | 0015432 | TUFTS HEALTH PLAN |
| Massachusetts | Other | 16176 | TUFTS HEALTH PLAN |
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