National Provider Identifier
Frederick Eckles Jr., LPN
Frederick Eckles Jr., LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Derby, NY and a listed phone number of (716) 562-7012.
Profile Overview
- NPI
- 1114219607
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 03, 2011
- Last Updated
- May 03, 2011
Practice Location
- 6816 Erie Road
- Derby, NY 14047
Phone: (716) 562-7012
Mailing Address
- 8 Bartus Ln
- Angola, NY 14006-1602
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1114219607
- Entity Type
- Individual
- Last Name
- Eckles
- First Name
- Frederick
- Name Prefix
- Mr.
- Name Suffix
- Jr.
- Credential
- LPN
- Mailing Street Address
- 8 Bartus Ln
- Mailing City
- Angola
- Mailing State
- NY
- Mailing ZIP Code
- 14006-1602
- Mailing Country
- US
- Practice Street Address
- 6816 Erie Road
- Practice City
- Derby
- Practice State
- NY
- Practice ZIP Code
- 14047
- Practice Country
- US
- Practice Phone
- (716) 562-7012
- Practice Fax
- (716) 562-7109
- Enumeration Date
- May 03, 2011
- Last Updated
- May 03, 2011
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)