Eckhardt, Suzanne Mary
Eckhardt, Suzanne Mary is an individual health care provider with primary practice located at 637 Lucas Ave , Los Angeles CA 90017-1912. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as her primary health care specialty. Eckhardt, Suzanne Mary can be contacted via phone (213) 482-5226.Contact Information
Primary practice address
637 Lucas Ave
Los Angeles CA 90017-1912
Phone: (213) 482-5226
Fax: (213) 482-5040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | CP001228 | Delaware |
Profile Details
| NPI number | 1316134802 |
|---|---|
| LBN Legal business name | Eckhardt, Suzanne Mary |
| Credentials | Certified Psychologist (CP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2007 |
| Last updated | Sep 27th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316134802 | NPPES |
| California | MEDICAID | GFC000250 |
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