Beck, Mikeal Dwain

Beck, Mikeal Dwain is an individual health care provider with primary practice located at 1709 Fort Worth Hwy , Weatherford TX 76086-3609. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Beck, Mikeal Dwain can be contacted via phone (817) 594-1000.

Contact Information

Primary practice address
1709 Fort Worth Hwy Weatherford TX 76086-3609
Phone: (817) 594-1000
Fax: (817) 594-8011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X 77 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X 77 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X 77 Texas

Profile Details

NPI number 1174522668
LBN Legal business name Beck, Mikeal Dwain
Credentials CP,LPO
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Apr 23rd, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174522668 NPPES
Texas MEDICAID 145839001

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