Becker, Lance J

Becker, Lance J is an individual health care provider with primary practice located at 1 Medical Center Blvd , Upland PA 19013-3902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Becker, Lance J can be contacted via phone (610) 447-2517.

Contact Information

Primary practice address
1 Medical Center Blvd Upland PA 19013-3902
Phone: (610) 447-2517
Fax: (610) 956-0069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD073439L Pennsylvania

Profile Details

NPI number 1093709552
LBN Legal business name Becker, Lance J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Mar 8th, 2011 - about 13 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 1093709552 NPPES
Pennsylvania MEDICAID 1843900

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