Becker, Thomas C
Becker, Thomas C is an individual health care provider with primary practice located at 3240 Jackson St , Oshkosh WI 54901. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Becker, Thomas C can be contacted via phone (920) 231-0143.Contact Information
Primary practice address
3240 Jackson St
Oshkosh WI 54901
Phone: (920) 231-0143
Fax: (920) 231-4246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 874132 | Wisconsin |
Profile Details
| NPI number | 1447420641 |
|---|---|
| LBN Legal business name | Becker, Thomas C |
| Credentials | CERTIFIED SUBSTANCE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2008 |
| Last updated | Jan 29th, 2020 - about 6 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 | 1447420641 | NPPES |
| Wisconsin | MEDICAID | 39318600 |
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