Individual
DR. HEATHER C ECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8401 MARKET ST, YOUNGSTOWN, OH 44512-6725
(330) 729-2929
(330) 286-5396
Mailing address
4135 BOARDMAN CANFIELD RD STE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.084275
OH
207L00000X
Anesthesiology Physician
8691A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11670388
CAQH
—
01
—
2560992
MEDICAID
OH
01
—
H295482
MEDICARE PTAN
OH
Enumeration date
10/19/2005
Last updated
12/27/2018
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