Healthcare Provider Details

I. General information

NPI: 1235447947
Provider Name (Legal Business Name): ECC ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2010
Last Update Date: 09/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

256 MAIN ST
CLAYSVILLE PA
15323-2368
US

IV. Provider business mailing address

PO BOX O
CLAYSVILLE PA
15323-0514
US

V. Phone/Fax

Practice location:
  • Phone: 724-663-5286
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: NATASHA ESHBAUGH
Title or Position: PRESIDENT
Credential:
Phone: 724-663-5286