Becker, Andrew L
Becker, Andrew L is an individual health care provider with primary practice located at 303 Med Tech Pkwy Suite 100, Johnson City TN 37604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Becker, Andrew L can be contacted via phone (423) 282-5611.Contact Information
Primary practice address
303 Med Tech Pkwy Suite 100
Johnson City TN 37604
Phone: (423) 282-5611
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO0000002745 | Tennessee |
Profile Details
NPI number | 1700152980 |
---|---|
LBN Legal business name | Becker, Andrew L |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 1st, 2012 |
Last updated | Mar 5th, 2021 - about 4 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 | 1700152980 | NPPES |
Tennessee | MEDICAID | Q015494 |
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