Eckert, Richard Russell

Eckert, Richard Russell is an sole proprietor health care provider with primary practice located at 4370 Starkey Rd Suite 4-C, Roanoke VA 24018-0603. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Eckert, Richard Russell can be contacted via phone (540) 989-4100.

Contact Information

Primary practice address
4370 Starkey Rd Suite 4-C Roanoke VA 24018-0603
Fax: (540) 989-3667
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101-047832 Virginia

Profile Details

NPI number 1982652988
LBN Legal business name Eckert, Richard Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Feb 27th, 2008 - about 18 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 1982652988 NPPES
Virginia Other 222413 SOUTHERN HEALTH
Virginia Other 217216 SOUTHERN HEALTH
Virginia Other 542009280-01 SOUTHERN HEALTH
Virginia Other 0004252599 SOUTHERN HEALTH

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