Beck, Sally R

Beck, Sally R is an sole proprietor health care provider with primary practice located at 920 E Broadway Rd , Mesa AZ 85204-2107. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Beck, Sally R can be contacted via phone (480) 472-1485.

Contact Information

Primary practice address
920 E Broadway Rd Mesa AZ 85204-2107
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X RN059681 Arizona

Profile Details

NPI number 1518019306
LBN Legal business name Beck, Sally R
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 17 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 1518019306 NPPES
Arizona MEDICAID 712069

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