Eckerstorfer, Lori
Eckerstorfer, Lori is an individual health care provider with primary practice located at 163 Van Buren Rd , Caribou ME 04736-3567. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Eckerstorfer, Lori can be contacted via phone (207) 492-3451.Contact Information
Primary practice address
163 Van Buren Rd
Caribou ME 04736-3567
Phone: (207) 492-3451
Fax: (207) 498-1392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA309 | Maine |
Profile Details
| NPI number | 1255309076 |
|---|---|
| LBN Legal business name | Eckerstorfer, Lori |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Sep 19th, 2013 - about 13 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 | 1255309076 | NPPES |
| Other | 12016304 | CAQH |
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