Beck, Jonathan D

Beck, Jonathan D is an sole proprietor health care provider with primary practice located at 11 Old Park Lane Rd , New Milford CT 06776-2507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Beck, Jonathan D can be contacted via phone (860) 355-1149.

Contact Information

Primary practice address
11 Old Park Lane Rd New Milford CT 06776-2507
Phone: (860) 355-1149
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 042308 Connecticut

Profile Details

NPI number 1578631982
LBN Legal business name Beck, Jonathan D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Sep 11th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578631982 NPPES
Connecticut Other 830401703 TAX ID
Connecticut MEDICAID 008003881 TAX ID

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