Eckert, Dieter Ernst

Eckert, Dieter Ernst is an sole proprietor health care provider with primary practice located at 1551 Bishop St , San Luis Obispo CA 93401-4635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Eckert, Dieter Ernst can be contacted via phone (805) 269-1300.

Contact Information

Primary practice address
1551 Bishop St San Luis Obispo CA 93401-4635
Fax: (805) 269-1387
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G21039 California

Profile Details

NPI number 1740206606
LBN Legal business name Eckert, Dieter Ernst
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Feb 5th, 2010 - about 14 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 1740206606 NPPES
California MEDICAID FHC71031F

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