Becker, Bruce David

Becker, Bruce David is an individual health care provider with primary practice located at 11862 Sunrise Valley Dr Suite 101, Reston VA 20191-3302. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Becker, Bruce David can be contacted via phone (703) 620-5808.

Contact Information

Primary practice address
11862 Sunrise Valley Dr Suite 101 Reston VA 20191-3302
Phone: (703) 620-5808
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0104000521 Virginia

Profile Details

NPI number 1174623672
LBN Legal business name Becker, Bruce David
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated Jul 8th, 2007 - about 19 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 1174623672 NPPES
Other 40177 MAMSI INS CO.

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