Becker, Jerry

Becker, Jerry is an individual health care provider with primary practice located at 415 W Columbia St , Evansville IN 47710-1656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Becker, Jerry can be contacted via phone (812) 464-9133.

Contact Information

Primary practice address
415 W Columbia St Evansville IN 47710-1656
Phone: (812) 464-9133
Fax: (812) 464-0559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01019382A Indiana

Profile Details

NPI number 1023091725
LBN Legal business name Becker, Jerry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Feb 23rd, 2010 - about 13 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 1023091725 NPPES
Indiana MEDICAID 100344130
Indiana MEDICAID 64003940

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