Becker, Julie

Becker, Julie is an individual health care provider with primary practice located at 3820 S Fremont Ave , Springfield MO 65804-6503. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Becker, Julie can be contacted via phone (417) 882-0948.

Contact Information

Primary practice address
3820 S Fremont Ave Springfield MO 65804-6503
Fax: (417) 882-7548
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 15408 Missouri

Profile Details

NPI number 1124096912
LBN Legal business name Becker, Julie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Apr 13th, 2022 - about 2 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 1124096912 NPPES
Missouri MEDICAID 408282507

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