Provider Demographics
NPI:1164450078
Name:ECKERT, DANIEL STEPHEN (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:STEPHEN
Last Name:ECKERT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-1300
Mailing Address - Fax:717-851-1310
Practice Address - Street 1:755 S PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:DALLASTOWN
Practice Address - State:PA
Practice Address - Zip Code:17313-9252
Practice Address - Country:US
Practice Address - Phone:717-851-1300
Practice Address - Fax:717-851-1310
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS012523207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA20046436OtherAMERIHEALTH MERCY-WMG
PA2137713OtherMAMSI-WMG
PA1739801OtherHIGHMARK BLUE SHIELD
PAP006802OtherGATEWAY-WMG
MD646138OtherCAREFIRST MD BCBS
PA7615877OtherAETNA
PA101234212Medicaid
PA167186OtherUNISON-WMG
PA50046982OtherCAPITAL BLUE CROSS-WMG
PA100445OtherGEISINGER
PA109345OtherJOHNS HOPKINS
MD646138OtherCAREFIRST MD BCBS
PA167186OtherUNISON-WMG
PA2137713OtherMAMSI-WMG
PA50046982OtherCAPITAL BLUE CROSS-WMG