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Contact Information

MARK K ECKERT, MD
1010 MURRAY AVENUE
SAN LUIS OBISPO, CA93401
 Phone: 805-546-7650
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MARK K ECKERT · (Male)

NPI Number 1568410173
Status Active
Credentials MD
Entity Individual
Enumeration date 05/05/2006
Last updated 05/24/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G31187
  • CA Medicaid 00G311870
  • CA Other 930126534 MEDICARE RAILROAD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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