Jennie Walker Eckstrom in Whitefish - Family Medicine
Jennie Walker Eckstrom - NPI 1003867037
Jennie Walker Eckstrom is a Family Medicine in Whitefish, Montana. Jennie Walker Eckstrom practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jennie Walker Eckstrom is 1003867037. The last update date is 2008-05-12.
Jennie Walker Eckstrom's current location address is 1111 Baker Ave, Whitefish, Montana. You can contact this provider via phone number 4068622515 and fax number 4068624229. The mailing address for Jennie Walker Eckstrom is 1111 Baker Ave, Whitefish, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennie Walker Eckstrom |
|---|---|
| Address | 1111 Baker Ave, Whitefish, Montana |
| Phone Number | 4068622515 |
| Fax Number | 4068624229 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1003867037 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2008-05-12 |
Provider Mailing Address Detail
| Address | 1111 Baker Ave |
|---|---|
| City | Whitefish |
| State | Montana (MT) |
| Post Code | 599372901 |
| Phone Number | 4068622515 |
| Fax Number | 4068624229 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | M9143 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 810350909 | MT | FEIN | |
| 27D0411341 | MT | CLIA ID#--LAB CERT | |
| P00234037 | MT | RAILROAD MEDICARE PIN# | |
| 8287 | MT | MEDICARE PART B GRP ID# | |
| CI2709 | MT | RAILROAD MEDICARE GRP ID# | |
| 1104882232 | MT | GLACIER MEDICAL ASSOC NPI | |
| 94766 | MT | BLUE CROSS/SHIELD PIN | |
| 143442 | MT | -- | |
| 10784 | MT | MONTANA STATE LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Jennie Walker Eckstrom by the Centers for Medicare & Medicaid Services?
The Jennie Walker Eckstrom has been issued the NPI (National Provider Identifier) 1003867037. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jennie Walker Eckstrom is located?
The Jennie Walker Eckstrom is situated at the following address: 1111 Baker Ave, Whitefish, MT, 599372901.
What is Jennie Walker Eckstrom's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jennie Walker Eckstrom's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003867037 to Jennie Walker Eckstrom?
The Centers for Medicare & Medicaid Services assigned the 1003867037 to Jennie Walker Eckstrom on 2006-05-15.
As of what date was the information regarding Jennie Walker Eckstrom, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jennie Walker Eckstrom, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-12.
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