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NPI Code Detail

MEDICARE: JOHN E ECKER CRNA

MEDICARE: JOHN E ECKER CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistRN288861PA

General Provider Information

NPI Number : 1649219825
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN E ECKER CRNA
Provider Business Mailing Address
First Line : 1699 WASHINGTON RD
Second Line : STE 307
City : PITTSBURGH
State : PA
Zip : 15228-1629
Country : US
Telephone Number : 412-831-3744
Fax Number : 412-831-5663
Provider Business Practice Location Address
First Line : 32-36 CENTRAL AVE
Second Line :
City : WELLSBORO
State : PA
Zip : 16901-1840
Country : US
Telephone Number : 570-723-7764
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 07/08/2007

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