Provider Type Icon

EVELYN ECCLES MD NPI 1679776264


NPI Information

NPI: 1679776264
Provider Name: EVELYN ECCLES, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
122 W MAIN ST
BOX 570
MANCHESTER, MI
ZIP 48158
Phone: (734) 428-8381
Get Directions

EVELYN ECCLES, MD is a family medicine in Manchester, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EVELYN ECCLES, MD NPI is 1679776264. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

122 W MAIN ST
BOX 570
MANCHESTER, MI
ZIP 48158-002
Phone: (734) 428-8381
Fax: (734) 428-9066

The provider's authorized official is Evelyn Eccles .
The authorized official title is Owner and has the following contact phone number (734) 428-8381.

The enumeration date for this NPI number is 6/9/2007 and was last updated on 2/22/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine4301043902MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D83181MEDICARE UPINMICHIGAN
21802237MEDICAIDMICHIGAN
31366533689OTHERMICHIGANECCLES PERSONAL NPI
408111197081MEDICARE ID-TYPE UNSPECIFIEDMICHIGANECCLES
51568521458OTHERMICHIGANTAMAGNE PERSONAL NPI

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.