Provider Demographics
NPI:1407943285
Name:ECKEL, LINDA JOYCE (RD/LD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:JOYCE
Last Name:ECKEL
Suffix:
Gender:F
Credentials:RD/LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 WEST GRAY
Mailing Address - Street 2:SUITE 209
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069
Mailing Address - Country:US
Mailing Address - Phone:405-329-3540
Mailing Address - Fax:405-329-3540
Practice Address - Street 1:330 WEST GRAY
Practice Address - Street 2:SUITE 209
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069
Practice Address - Country:US
Practice Address - Phone:405-329-3540
Practice Address - Fax:405-329-3540
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKLD410133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered