Becker, Bruce A

Becker, Bruce A is an individual health care provider with primary practice located at 550 University Blvd , Indianapolis IN 46202-5149. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Becker, Bruce A can be contacted via phone (317) 944-8660.

Contact Information

Primary practice address
550 University Blvd Indianapolis IN 46202-5149
Phone: (317) 944-8660
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000570A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71000570A Indiana

Profile Details

NPI number 1720195340
LBN Legal business name Becker, Bruce A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jan 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720195340 NPPES
Indiana MEDICAID 200809460

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