Becker, Rita M

Becker, Rita M is an individual health care provider with primary practice located at 2316 South St , Lafayette IN 47904-2971. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Becker, Rita M can be contacted via phone (765) 742-1567.

Contact Information

Primary practice address
2316 South St Lafayette IN 47904-2971
Phone: (765) 742-1567
Fax: (765) 429-2700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71009242A Indiana

Profile Details

NPI number 1962058743
LBN Legal business name Becker, Rita M
Credentials DNP, APRN, CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2019
Last updated May 9th, 2022 - about 3 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 1962058743 NPPES
Indiana MEDICAID 300030434

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