Becker, Robert Conrad

Becker, Robert Conrad is an individual health care provider with primary practice located at 620 Crossover Road , Tupelo MS 38801-4944. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Becker, Robert Conrad can be contacted via phone (662) 620-7101.

Contact Information

Primary practice address
620 Crossover Road Tupelo MS 38801-4944
Phone: (662) 620-7101
Fax: (662) 842-1457
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 15888 Mississippi

Profile Details

NPI number 1033157672
LBN Legal business name Becker, Robert Conrad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Sep 27th, 2023 - about 3 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 1033157672 NPPES
Alabama MEDICAID 009709460
Alabama Other P00359769
Alabama Other 300087629
Alabama MEDICAID 00118711

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