Eckhart, Heather Diane

Eckhart, Heather Diane is an sole proprietor health care provider with primary practice located at 6722 Raccoon Rd , Granby MO 64844-7111. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Eckhart, Heather Diane can be contacted via phone (417) 499-2899.

Contact Information

Primary practice address
6722 Raccoon Rd Granby MO 64844-7111
Phone: (417) 499-2899
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2006018798 Missouri

Profile Details

NPI number 1174659874
LBN Legal business name Eckhart, Heather Diane
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated May 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174659874 NPPES
Missouri MEDICAID 493736300

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