Eckert, Robert Walter

Eckert, Robert Walter is an individual health care provider with primary practice located at 19 Myrtle St , Medford OR 97504-7337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eckert, Robert Walter can be contacted via phone (541) 773-3863.

Contact Information

Primary practice address
19 Myrtle St Medford OR 97504-7337
Fax: (541) 618-4413
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24005 Oregon

Profile Details

NPI number 1942207592
LBN Legal business name Eckert, Robert Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Jan 14th, 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 1942207592 NPPES
Oregon MEDICAID 227698

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