Eckert, Mark K
Eckert, Mark K is an individual health care provider with primary practice located at 1010 Murray Avenue , San Luis Obispo CA 93401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Eckert, Mark K can be contacted via phone (805) 546-7650.Contact Information
Primary practice address
1010 Murray Avenue
San Luis Obispo CA 93401
Phone: (805) 546-7650
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | G31187 | California |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G31187 | California |
Profile Details
NPI number | 1568410173 |
---|---|
LBN Legal business name | Eckert, Mark K |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 5th, 2006 |
Last updated | May 24th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568410173 | NPPES |
California | Other | 930126534 | MEDICARE RAILROAD |
California | MEDICAID | 00G311870 | MEDICARE RAILROAD |
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