Becker, Jonathan A

Becker, Jonathan A is an individual health care provider with primary practice located at 501 E Broadway Ste 290 , Louisville KY 40202-2040. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Becker, Jonathan A can be contacted via phone (502) 217-8221.

Contact Information

Primary practice address
501 E Broadway Ste 290 Louisville KY 40202-2040
Phone: (502) 217-8221
Fax: (502) 217-5056
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37369 Kentucky
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 37369 Kentucky

Profile Details

NPI number 1235132333
LBN Legal business name Becker, Jonathan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jan 12th, 2010 - about 15 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 1235132333 NPPES
Indiana MEDICAID 200533690
Indiana MEDICAID 64050321

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