Becerril, David Antonio
Becerril, David Antonio is an sole proprietor health care provider with primary practice located at 1500 Northwest Blvd Ste 204 , Coeur D Alene ID 83814-2413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Becerril, David Antonio can be contacted via phone (208) 446-9387.Contact Information
Primary practice address
1500 Northwest Blvd Ste 204
Coeur D Alene ID 83814-2413
Phone: (208) 446-9387
Fax: (712) 201-0762
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M-15965 | Idaho |
Profile Details
| NPI number | 1902806771 |
|---|---|
| LBN Legal business name | Becerril, David Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Apr 25th, 2024 - about last year |
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 | 1902806771 | NPPES |
| Washington | MEDICAID | 1075258 |
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