Provider Demographics
NPI:1356689350
Name:ECKMAN, ERIKA BETH (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:BETH
Last Name:ECKMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 EASTSIDE CENTRE CT STE 2
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72653-2748
Mailing Address - Country:US
Mailing Address - Phone:870-736-6229
Mailing Address - Fax:
Practice Address - Street 1:1310 EASTSIDE CENTRE CT STE 2
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-2748
Practice Address - Country:US
Practice Address - Phone:870-736-6229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-25
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR16228111NS0005X
MO2013002133111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician