Eckman Chiropractic Clinic PLLC
Organization Active NPI Chiropractor · Dowagiac, MI
NPI 1104076470 · NPPES record last updated Sep 24, 2008
Key facts
- NPI
- 1104076470
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301008329 (MI)
- Legal business name
- ECKMAN CHIROPRACTIC CLINIC PLLC
- Practice address
- 300 Whitney St
Suite a
Dowagiac, MI 49047-1672 - Phone
- (269) 782-1144
- Fax
- (269) 782-1145
- NPI assigned
- Sep 24, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. James Robert Eckman Jr., D.C.
- Title
- Owner
- Phone
- (269) 782-1144
Practitioners 1
-
James Robert Eckman Jr., D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100909000345 | MI | Part B Supplier - Clinic/Group Practice | 4284759648 |
Receives reassigned benefits from 1 practitioner Practice locations: Dowagiac, MI |
National Provider Directory
Locations
300 Whitney St
Ste A
Dowagiac, MI 49047
Phone (269) 782-1144
56119 M 51 S
Dowagiac, MI 49047
Phone (269) 782-1144
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2301008329 | MI | Yes |
Addresses
Primary practice location
300 Whitney St
Suite a
Dowagiac, MI 49047-1672
Mailing address
300 Whitney St
Suite a
Dowagiac, MI 49047-1672
Phone (269) 782-1144
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4361252 | Medicaid | MI |
Other providers in Dowagiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.