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Individual

RONALD C ECKERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
269 WEST VINCENNES ST, LINTON, IN 47441
(812) 847-9998
Mailing address
269 WEST VINCENNES ST, LINTON, IN 47441
(812) 847-9998

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001553B
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1001503808
IN
Enumeration date
12/12/2006
Last updated
07/08/2007
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