1063820272 NPI number — DAREN ECCLES DPT

Table of content: DAREN ECCLES DPT (NPI 1063820272)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063820272 NPI number — DAREN ECCLES DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ECCLES
Provider First Name:
DAREN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DPT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063820272
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/09/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5820 CLARET ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TIMNATH
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80547-2524
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-380-6408
Provider Business Mailing Address Fax Number:
772-221-3373

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1566 VISTA VIEW DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LONGMONT
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80504-5278
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-266-7100
Provider Business Practice Location Address Fax Number:
772-221-3373
Provider Enumeration Date:
07/31/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2251X0800X , with the licence number:  PTL0015319 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)