Provider Demographics
NPI:1851454243
Name:SECKEL, ERNEST E (DPM)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:E
Last Name:SECKEL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12221 US HIGHWAY 431
Mailing Address - Street 2:
Mailing Address - City:GUNTERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35976-9356
Mailing Address - Country:US
Mailing Address - Phone:256-891-0123
Mailing Address - Fax:256-891-3131
Practice Address - Street 1:12221 US HIGHWAY 431
Practice Address - Street 2:
Practice Address - City:GUNTERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35976-9356
Practice Address - Country:US
Practice Address - Phone:256-891-0123
Practice Address - Fax:256-891-3131
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL28213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL5574940001OtherDMERC
AL51001067OtherBLUE CROSS BLUE SHIELD
ALT68899Medicare UPIN