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MICHELLE ECKERT M. D. PA NPI 1356671838


NPI Information

NPI: 1356671838
Provider Name: MICHELLE ECKERT, M. D., PA
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
1609 W 40TH AVE STE 403
PINE BLUFF, AR
ZIP 71603
Phone: (870) 534-4188
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MICHELLE ECKERT, M. D., PA is a medical specialty clinic center in Pine Bluff, AR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MICHELLE ECKERT, M. D., PA NPI is 1356671838. The provider is registered as an organization entity type.

The provider's business location address is:

1609 W 40TH AVE STE 403
PINE BLUFF, AR
ZIP 71603-365
Phone: (870) 534-4188
Fax: (870) 534-7964

The provider's authorized official is Michelle Eckert .
The authorized official title is Owner and has the following contact phone number (870) 534-4188.

The enumeration date for this NPI number is 1/6/2010 and was last updated on 1/6/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyE2626ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H21845MEDICARE UPIN
2142276001MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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