Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC18390 | CA |
NPI | 1609906692 |
---|---|
Provider Name | Mr. David E Eckel |
First Address | Lancaster, CA 93534-2814 |
Second Address | Lancaster, CA 93534-6039 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2007 |
Last Update Date | 27/04/2018 |