Becker, Mary B

Becker, Mary B is an individual health care provider with primary practice located at 4121 Dutchmans Ln Plaza Iii, Suite 101, Louisville KY 40207-4707. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Becker, Mary B can be contacted via phone (502) 896-8660.

Contact Information

Primary practice address
4121 Dutchmans Ln Plaza Iii, Suite 101 Louisville KY 40207-4707
Phone: (502) 896-8660
Fax: (502) 896-5863
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 3002137 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3002137 Kentucky

Profile Details

NPI number 1952305807
LBN Legal business name Becker, Mary B
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated May 10th, 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 1952305807 NPPES
Kentucky MEDICAID 78021375

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