Eckrich, Roma S.

Eckrich, Roma S. is an individual health care provider with primary practice located at 2129 Skyline Dr , Fort Worth TX 76114-1924. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Eckrich, Roma S. can be contacted via phone (800) 257-8715.

Contact Information

Primary practice address
2129 Skyline Dr Fort Worth TX 76114-1924
Phone: (800) 257-8715
Fax: (800) 819-1655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 23438 Texas

Profile Details

NPI number 1164538245
LBN Legal business name Eckrich, Roma S.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jul 9th, 2007 - about 19 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 1164538245 NPPES
Texas MEDICAID 040296801
Texas Other 860667
Texas MEDICAID 040296802
Texas Other 680007300

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