Eckstrom, Michael Thomas

Eckstrom, Michael Thomas is an individual health care provider with primary practice located at 404 W Fountain St , Albert Lea MN 56007-2437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Eckstrom, Michael Thomas can be contacted via phone (507) 373-2384.

Contact Information

Primary practice address
404 W Fountain St Albert Lea MN 56007-2437
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 43291 Minnesota

Profile Details

NPI number 1841279197
LBN Legal business name Eckstrom, Michael Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2006
Last updated Sep 28th, 2020 - about 4 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 1841279197 NPPES
Minnesota MEDICAID 620008700

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