Eckstein, Larry
Eckstein, Larry is an sole proprietor health care provider with primary practice located at 2760 29Th St Suite 2-D, Boulder CO 80301-1214. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Eckstein, Larry can be contacted via phone (303) 546-9158.Contact Information
Primary practice address
2760 29Th St Suite 2-D
Boulder CO 80301-1214
Phone: (303) 546-9158
Fax: (303) 546-9107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 33042 | Colorado |
Profile Details
| NPI number | 1821000704 |
|---|---|
| LBN Legal business name | Eckstein, Larry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Mar 2nd, 2016 - about 10 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 | 1821000704 | NPPES |
| Colorado | MEDICAID | 01330422 |
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