Becker, Ellen Renee

Becker, Ellen Renee is an individual health care provider with primary practice located at 444 4Th St W , Dickinson ND 58601-4951. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Becker, Ellen Renee can be contacted via phone (701) 456-0015.

Contact Information

Primary practice address
444 4Th St W Dickinson ND 58601-4951
Fax: (701) 456-0001
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 23 North Dakota

Profile Details

NPI number 1720116171
LBN Legal business name Becker, Ellen Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Jul 9th, 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 1720116171 NPPES
North Dakota MEDICAID 54098

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