Becker, Scott A

Becker, Scott A is an sole proprietor health care provider with primary practice located at 3419 N Woodford St , Decatur IL 62526-2839. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Becker, Scott A can be contacted via phone (217) 875-7388.

Contact Information

Primary practice address
3419 N Woodford St Decatur IL 62526-2839
Fax: (217) 875-5399
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038003978 Illinois

Profile Details

NPI number 1669472924
LBN Legal business name Becker, Scott A
Credentials DC, FACO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Feb 28th, 2017 - about 7 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 1669472924 NPPES
Illinois Other 5845669 BLUE CROSS BLUE SHIELD IL
Illinois MEDICAID 038003978 BLUE CROSS BLUE SHIELD IL

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