Becker, Marilyn A.

Becker, Marilyn A. is an individual health care provider with primary practice located at 1900 Gordon Cooper Drive , Shawnee OK 74801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Becker, Marilyn A. can be contacted via phone (405) 878-7160.

Contact Information

Primary practice address
1900 Gordon Cooper Drive Shawnee OK 74801
Phone: (405) 878-7160
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R0073894 Oklahoma

Profile Details

NPI number 1811932601
LBN Legal business name Becker, Marilyn A.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jan 27th, 2010 - about 14 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 1811932601 NPPES
Oklahoma MEDICAID 200072230A

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