Becker, Jacob Joseph

Becker, Jacob Joseph is an individual health care provider with primary practice located at 1 Hospital Dr # Dc018.00 , Columbia MO 65201-5276. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Becker, Jacob Joseph can be contacted via phone (573) 884-5697.

Contact Information

Primary practice address
1 Hospital Dr # Dc018.00 Columbia MO 65201-5276
Phone: (573) 884-5697
Fax: (573) 884-8876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2011019836 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD2016-0110 New Mexico
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X DR.0056443 Colorado

Profile Details

NPI number 1679852271
LBN Legal business name Becker, Jacob Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2011
Last updated Jun 24th, 2016 - about 8 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 1679852271 NPPES
Missouri Other 2011019836 MISSOURI STATE LICENSE

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