Eckstein, William Laurence

Eckstein, William Laurence is an sole proprietor health care provider with primary practice located at 900 W Temple Ave Ste 203 , Effingham IL 62401-2187. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Eckstein, William Laurence can be contacted via phone (217) 342-5405.

Contact Information

Primary practice address
900 W Temple Ave Ste 203 Effingham IL 62401-2187
Fax: (217) 342-5564
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036066126 Illinois

Profile Details

NPI number 1619038171
LBN Legal business name Eckstein, William Laurence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Jul 7th, 2016 - about 9 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 1619038171 NPPES
Illinois Other 1467456996 CLINIC NPI NUMBER
Illinois MEDICAID 371339856001 CLINIC NPI NUMBER

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