Becker, Mark S

Becker, Mark S is an individual health care provider with primary practice located at 1520 Whitney Court Ste 200, Mid Mn Family Practice, Saint Cloud MN 56303-1867. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Becker, Mark S can be contacted via phone (320) 240-3157.

Contact Information

Primary practice address
1520 Whitney Court Ste 200, Mid Mn Family Practice Saint Cloud MN 56303-1867
Phone: (320) 240-3157
Fax: (320) 240-3164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MN27801 Minnesota

Profile Details

NPI number 1124095609
LBN Legal business name Becker, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Apr 2nd, 2010 - about 16 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 1124095609 NPPES
Minnesota MEDICAID 981268700

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