Eckhardt, Tina J

Eckhardt, Tina J is an individual health care provider with primary practice located at 777 Tanglefoot Ln , Bettendorf IA 52722-1650. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Eckhardt, Tina J can be contacted via phone (563) 323-2020.

Contact Information

Primary practice address
777 Tanglefoot Ln Bettendorf IA 52722-1650
Phone: (563) 323-2020
Fax: (563) 328-5694
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 32758 Iowa
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036088865 Illinois

Profile Details

NPI number 1952373383
LBN Legal business name Eckhardt, Tina J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Mar 4th, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952373383 NPPES
Iowa Other 0060350 IA GROUP MEDICAID
Iowa MEDICAID 0188110 IA GROUP MEDICAID
Iowa Other 09382 IA GROUP MEDICAID
Iowa Other 26568 IA GROUP MEDICAID
Iowa Other 790730 IA GROUP MEDICAID

Popular Providers