Becker, Jack Michael

Becker, Jack Michael is an individual health care provider with primary practice located at 233 E Lancaster Ave Ste 200 , Ardmore PA 19003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Becker, Jack Michael can be contacted via phone (610) 642-1643.

Contact Information

Primary practice address
233 E Lancaster Ave Ste 200 Ardmore PA 19003
Phone: (610) 642-1643
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X MDO42717E Pennsylvania

Profile Details

NPI number 1851349955
LBN Legal business name Becker, Jack Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated May 21st, 2024 - about 2 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 1851349955 NPPES
Pennsylvania MEDICAID 001252808
Pennsylvania Other 673732

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