Becker, Douglas Wayne
Becker, Douglas Wayne is an individual health care provider with primary practice located at 350 Thomas More Pkwy , Crestview Hills KY 41017. 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 / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Becker, Douglas Wayne can be contacted via phone (859) 426-0800.Contact Information
Primary practice address
350 Thomas More Pkwy
Crestview Hills KY 41017
Phone: (859) 426-0800
Fax: (859) 426-4140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 10395 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71001655A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 10395 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3003519 | Kentucky |
Profile Details
| NPI number | 1184879736 |
|---|---|
| LBN Legal business name | Becker, Douglas Wayne |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2008 |
| Last updated | Jun 14th, 2024 - about last year |
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 | 1184879736 | NPPES |
| Ohio | Other | 611300608056 | CARESOURCE |
| Ohio | MEDICAID | 78006475 | CARESOURCE |
| Ohio | Other | P00873403 | CARESOURCE |
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