Becker, Mark S
Becker, Mark S is an individual health care provider with primary practice located at 1520 Whitney Court Ste 200, Mid Mn Family Practice, Saint Cloud MN 56303-1867. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Becker, Mark S can be contacted via phone (320) 240-3157.Contact Information
Primary practice address
1520 Whitney Court Ste 200, Mid Mn Family Practice
Saint Cloud MN 56303-1867
Phone: (320) 240-3157
Fax: (320) 240-3164
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MN27801 | Minnesota |
Profile Details
NPI number | 1124095609 |
---|---|
LBN Legal business name | Becker, Mark S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 3rd, 2006 |
Last updated | Apr 2nd, 2010 - about 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124095609 | NPPES |
Minnesota | MEDICAID | 981268700 |
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