Beck, Sidney B

Beck, Sidney B is an individual health care provider with primary practice located at 28625 Northwestern Hwy Ste 1507, Southfield MI 48034-1828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Beck, Sidney B can be contacted via phone (248) 254-7866.

Contact Information

Primary practice address
28625 Northwestern Hwy Ste 1507 Southfield MI 48034-1828
Fax: (248) 504-5566
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 4301028918 Michigan

Profile Details

NPI number 1477543874
LBN Legal business name Beck, Sidney B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated May 22nd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477543874 NPPES
Michigan Other 040E061920 BLUE SHIELD MICHIGAN
Michigan MEDICAID 1203527 BLUE SHIELD MICHIGAN
Michigan MEDICAID 101203527 BLUE SHIELD MICHIGAN

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