Provider Demographics
NPI:1609906692
Name:ECKEL, DAVID E (DC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:E
Last Name:ECKEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 W AVENUE J
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2814
Mailing Address - Country:US
Mailing Address - Phone:661-723-6824
Mailing Address - Fax:661-723-5369
Practice Address - Street 1:43403 10TH ST W
Practice Address - Street 2:STE. C
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-6039
Practice Address - Country:US
Practice Address - Phone:661-723-6824
Practice Address - Fax:661-723-5369
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC18390111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic