Beck, Stephen John
Beck, Stephen John is an sole proprietor health care provider with primary practice located at 1367 Dominion Plz , Tyler TX 75703-1013. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Beck, Stephen John can be contacted via phone (903) 534-6200.Contact Information
Primary practice address
1367 Dominion Plz
Tyler TX 75703-1013
Phone: (903) 534-6200
Fax: (903) 939-0755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | F3749 | Texas |
Profile Details
| NPI number | 1063490472 |
|---|---|
| LBN Legal business name | Beck, Stephen John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Jul 30th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063490472 | NPPES |
| Texas | Other | 070001473 | RAILROAD MEDICARE |
| Texas | Other | 8FD396 | RAILROAD MEDICARE |
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