1093779878 NPI number — JULIA M ECKERT MD

Table of content: JULIA M ECKERT MD (NPI 1093779878)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093779878 NPI number — JULIA M ECKERT MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ECKERT
Provider First Name:
JULIA
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

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:
1093779878
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/13/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
950 S MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CELINA
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45822-2413
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
567-890-7138
Provider Business Mailing Address Fax Number:
419-586-0812

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
909 E WAYNE ST
Provider Second Line Business Practice Location Address:
SUITE 124
Provider Business Practice Location Address City Name:
CELINA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45822-3304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-586-1863
Provider Business Practice Location Address Fax Number:
419-586-3045
Provider Enumeration Date:
04/17/2006

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: 208000000X , with the licence number:  34-1957399 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 200235780A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000083941 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: 2643278 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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