Becker, Bruce A

Becker, Bruce A is an individual health care provider with primary practice located at 200 Madison Ave Suite 2C, Elmira NY 14901-3218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Becker, Bruce A can be contacted via phone (607) 737-4339.

Contact Information

Primary practice address
200 Madison Ave Suite 2C Elmira NY 14901-3218
Phone: (607) 737-4339
Fax: (607) 737-1519
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 0101046733 Virginia
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 241959 New York

Profile Details

NPI number 1326037227
LBN Legal business name Becker, Bruce A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jun 8th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326037227 NPPES
Pennsylvania MEDICAID 102230076
Pennsylvania MEDICAID 010065429
Pennsylvania MEDICAID 02822333

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