Eckhart, Kenneth L
Eckhart, Kenneth L is an individual health care provider with primary practice located at 540 Saybrook Rd , Middletown CT 06457-4711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Eckhart, Kenneth L can be contacted via phone (860) 347-7491.Contact Information
Primary practice address
540 Saybrook Rd
Middletown CT 06457-4711
Phone: (860) 347-7491
Fax: (860) 346-2118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 016500 | Connecticut |
Profile Details
| NPI number | 1104920388 |
|---|---|
| LBN Legal business name | Eckhart, Kenneth L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2006 |
| Last updated | Jan 5th, 2012 - about 13 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 | 1104920388 | NPPES |
| Connecticut | MEDICAID | 001165001 |
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