Provider Demographics
NPI:1962619668
Name:ECKERMANN, JAN MATHIAS (MD)
Entity type:Individual
Prefix:DR
First Name:JAN
Middle Name:MATHIAS
Last Name:ECKERMANN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2323 16TH ST
Mailing Address - Street 2:STE 407
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-3454
Mailing Address - Country:US
Mailing Address - Phone:661-843-7880
Mailing Address - Fax:
Practice Address - Street 1:1700 MT. VERNON AVE.
Practice Address - Street 2:ROOM 2562-B
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-4018
Practice Address - Country:US
Practice Address - Phone:661-872-3311
Practice Address - Fax:661-872-3366
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2018-10-10
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Provider Licenses
StateLicense IDTaxonomies
CAA96203207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery