Individual
DR. JEFFREY A. ECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2824 ELKHART RD, GOSHEN, IN 46526
(574) 535-1700
(574) 535-1799
Mailing address
2824 ELKHART RD, GOSHEN, IN 46526-1014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01037711A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000109325
ANTHEM NUMBER
IN
05
—
100475080A
—
IN
01
—
P01319982
RR MEDICARE
IN
Enumeration date
07/15/2005
Last updated
04/25/2019
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