Individual
DR. JOHN L ECKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2125 16TH ST, BEDFORD, IN 47421-3003
(812) 275-4053
(812) 275-5494
Mailing address
2125 16TH STREET, BEDFORD, IN 47421
(812) 275-4053
(812) 275-5494
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01049655A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200207410A
—
IN
Enumeration date
10/20/2005
Last updated
07/08/2016
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