Becker, John

Becker, John is an individual health care provider with primary practice located at 509 Hamacher St Suite 101, Waterloo IL 62298-1592. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Becker, John can be contacted via phone (618) 939-5555.

Contact Information

Primary practice address
509 Hamacher St Suite 101 Waterloo IL 62298-1592
Phone: (618) 939-5555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9500 Arizona

Profile Details

NPI number 1669742813
LBN Legal business name Becker, John
Credentials PT,DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2012
Last updated Jan 27th, 2017 - about 8 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 1669742813 NPPES
Arizona MEDICAID 667736

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