Eckerd, Paul T
Eckerd, Paul T is an individual health care provider with primary practice located at 6049 Harbour Park Drive , Midlothian VA 23112. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Eckerd, Paul T can be contacted via phone (804) 639-2359.Contact Information
Primary practice address
6049 Harbour Park Drive
Midlothian VA 23112
Phone: (804) 639-2359
Fax: (804) 639-2029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2305204538 | Virginia |
Profile Details
| NPI number | 1952364879 |
|---|---|
| LBN Legal business name | Eckerd, Paul T |
| Credentials | PT CERT MDT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Apr 22nd, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952364879 | NPPES |
| Virginia | MEDICAID | 010245605 | |
| Virginia | Other | 7212774 | |
| Virginia | Other | P00393927 | |
| Virginia | Other | 192944 |
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