National Provider Identifier Database

BRONNA L ECKELMAN, PA – NPI #1356363220
Surgical


Contact Information

BRONNA L ECKELMAN, PA
25A JUNE STREET
SANFORD, ME04073
Phone: 207-324-1488
Fax:
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for BRONNA L ECKELMAN

NPI Number 1356363220
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/23/2006
Last updated 03/11/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • ME License #: PA7900
  • NH License #: 0437 P
  • NH Medicaid: 30332203
Hospital affiliation n/a

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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