Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 2014-02401 | NC |
N | 2084N0400X | Neurologist | 27789 | AL |
N | 2084N0400X | Neurologist | D68661 | MD |
NPI | 1003023201 |
---|---|
Provider Name | Christopher Eckstein |
First Address | Mobile, AL 36608-6759 |
Second Address | Durham, NC 27710-4000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 17/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036673100 | (05) | MD |
27789 | MEDICAL LICENSE (01) | AL |