Becker, Jennifer

Becker, Jennifer is an individual health care provider with primary practice located at 990 W Ann Arbor Trl Suite 210, Plymouth MI 48170-6204. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Becker, Jennifer can be contacted via phone (734) 455-4600.

Contact Information

Primary practice address
990 W Ann Arbor Trl Suite 210 Plymouth MI 48170-6204
Phone: (734) 455-4600
Fax: (734) 455-5637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00046320 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301063055 Michigan

Profile Details

NPI number 1962441147
LBN Legal business name Becker, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Dec 30th, 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 1962441147 NPPES
Washington MEDICAID 8451692

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