Becker, Michael Scott

Becker, Michael Scott is an individual health care provider with primary practice located at 2725 Keith Street Nw , Cleveland TN 37312. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Becker, Michael Scott can be contacted via phone (423) 476-3330.

Contact Information

Primary practice address
2725 Keith Street Nw Cleveland TN 37312
Phone: (423) 476-3330
Fax: (472) 476-5802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0000000148 Tennessee

Profile Details

NPI number 1053459875
LBN Legal business name Becker, Michael Scott
Credentials MPAS PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Dec 30th, 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 1053459875 NPPES
Other 4009401 BCBS

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