Becker, Scott A
Becker, Scott A is an sole proprietor health care provider with primary practice located at 3419 N Woodford St , Decatur IL 62526-2839. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Becker, Scott A can be contacted via phone (217) 875-7388.Contact Information
Primary practice address
3419 N Woodford St
Decatur IL 62526-2839
Phone: (217) 875-7388
Fax: (217) 875-5399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038003978 | Illinois |
Profile Details
| NPI number | 1669472924 |
|---|---|
| LBN Legal business name | Becker, Scott A |
| Credentials | DC, FACO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Feb 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669472924 | NPPES |
| Illinois | Other | 5845669 | BLUE CROSS BLUE SHIELD IL |
| Illinois | MEDICAID | 038003978 | BLUE CROSS BLUE SHIELD IL |
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