Provider Demographics
NPI:1023218005
Name:ECKERT, ANDREW ROBERT (DO)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:ROBERT
Last Name:ECKERT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 TRINITY DR E STE 120
Mailing Address - Street 2:
Mailing Address - City:DILLSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17019-8522
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ONE TRINITY DR
Practice Address - Street 2:SUITE 120
Practice Address - City:DILLSBURG
Practice Address - State:PA
Practice Address - Zip Code:17019
Practice Address - Country:US
Practice Address - Phone:717-432-5430
Practice Address - Fax:717-432-9296
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2020-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS014519207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102440888Medicaid
PA183254Medicare PIN