Evelyn Eccles, Md

LBN: Evelyn Eccles, Md
Evelyn Eccles, Md is an health care organization with primary practice located at 122 W Main St Box 570, Manchester MI 48158-1002. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Evelyn Eccles, Md can be contacted via phone (734) 428-8381, or through Eccles, Evelyn via phone (734) 428-8381.

Contact Information

Primary practice address
122 W Main St Box 570 Manchester MI 48158-1002
Phone: (734) 428-8381
Fax: (734) 428-9066
Website:
Map and Directions
Authorized official contact:
Name: Eccles, Evelyn Doctor of Medicine (MD)
Phone: (734) 428-8381

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301043902 Michigan

Profile Details

NPI number 1679776264
LBN Legal business name Evelyn Eccles, Md
DBA Doing business as
Authorized official Eccles, Evelyn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2007
Last updated Feb 22nd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679776264 NPPES
Michigan Other 1568521458 TAMAGNE PERSONAL NPI
Michigan Other 1366533689 TAMAGNE PERSONAL NPI
Michigan MEDICAID 1802237 TAMAGNE PERSONAL NPI

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