Eckstein, Gregory Todd

Eckstein, Gregory Todd is an individual health care provider with primary practice located at 1201 N 1St St , Bloomfield NM 87413-5271. He recently has only one registered license in Nursing Service Providers / School, which is considered as his primary health care specialty. Eckstein, Gregory Todd can be contacted via phone (505) 634-3501.

Contact Information

Primary practice address
1201 N 1St St Bloomfield NM 87413-5271
Phone: (505) 634-3501
Fax: (505) 634-3584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X R48383 New Mexico

Profile Details

NPI number 1316154982
LBN Legal business name Eckstein, Gregory Todd
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Jul 9th, 2007 - about 17 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 1316154982 NPPES
New Mexico MEDICAID 64434826

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