Becklund, Roger W
Becklund, Roger W is an sole proprietor health care provider with primary practice located at 6427 Gi Way Din Trl , Manitowish Waters WI 54545-9227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Becklund, Roger W can be contacted via phone (715) 686-2907.Contact Information
Primary practice address
6427 Gi Way Din Trl
Manitowish Waters WI 54545-9227
Phone: (715) 686-2907
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301026701 | Michigan |
Profile Details
| NPI number | 1295996866 |
|---|---|
| LBN Legal business name | Becklund, Roger W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2008 |
| Last updated | Jan 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295996866 | NPPES |
| Michigan | Other | 4301026701 | MICHIGAN BOARD OF MEDICINE PHYSICIAN LICENSE |
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