Provider Demographics
NPI:1174557342
Name:ECKMAN, JOHN WILLIAM III (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WILLIAM
Last Name:ECKMAN
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1738 BADIN RD
Mailing Address - Street 2:
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-5306
Mailing Address - Country:US
Mailing Address - Phone:704-983-2177
Mailing Address - Fax:704-983-2212
Practice Address - Street 1:1738 BADIN RD
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-5306
Practice Address - Country:US
Practice Address - Phone:704-983-2177
Practice Address - Fax:704-983-2212
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2011-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2984111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC350054963OtherPALMETTO GBA
NC89085ERMedicaid
NCP00228432OtherRAILROAD MEDICARE
NC085EROtherBLUE CROSS / BLUE SHIELD
NC085EROtherBLUE CROSS / BLUE SHIELD
NC350054963OtherPALMETTO GBA