Becker, Tanya Jean
Becker, Tanya Jean is an sole proprietor health care provider with primary practice located at 126 Prospect St , Pawtucket RI 02860-4429. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Becker, Tanya Jean can be contacted via phone (401) 728-9206.Contact Information
Primary practice address
126 Prospect St
Pawtucket RI 02860-4429
Phone: (401) 728-9206
Fax: (401) 722-6960
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD10708 | Rhode Island |
Profile Details
| NPI number | 1053303669 |
|---|---|
| LBN Legal business name | Becker, Tanya Jean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Jul 15th, 2013 - about 13 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 | 1053303669 | NPPES |
| Rhode Island | MEDICAID | TB55273 |
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