Beck, Paul Richard

Beck, Paul Richard is an individual health care provider with primary practice located at 175 Country Club Dr Building 100, Suite E, Stockbridge GA 30281-9054. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Beck, Paul Richard can be contacted via phone (770) 507-5000.

Contact Information

Primary practice address
175 Country Club Dr Building 100, Suite E Stockbridge GA 30281-9054
Phone: (770) 507-5000
Fax: (770) 507-5075
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036-114125 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 66755 Georgia

Profile Details

NPI number 1104931203
LBN Legal business name Beck, Paul Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Nov 6th, 2013 - about 13 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 1104931203 NPPES
Illinois Other 01915167 BLUE CROSS/BLUE SHIELD
Illinois Other 035958001 BLUE CROSS/BLUE SHIELD
Illinois MEDICAID 036114125 BLUE CROSS/BLUE SHIELD
Illinois Other 109303 BLUE CROSS/BLUE SHIELD

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