Healthcare Provider Details

I. General information

NPI: 1801729397
Provider Name (Legal Business Name): ELLIE ELIZABETH ECKART
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1811 S WASHINGTON ST
GRAND FORKS ND
58201-6337
US

IV. Provider business mailing address

1811 S WASHINGTON ST
GRAND FORKS ND
58201-6337
US

V. Phone/Fax

Practice location:
  • Phone: 701-757-3045
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: