Becker, Simon

Becker, Simon is an sole proprietor health care provider with primary practice located at 667 Eagle Rock Ave , West Orange NJ 07052-2177. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Becker, Simon can be contacted via phone (973) 736-4030.

Contact Information

Primary practice address
667 Eagle Rock Ave West Orange NJ 07052-2177
Phone: (973) 736-4030
Fax: (973) 325-0969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X MD00229500 New Jersey

Profile Details

NPI number 1982605697
LBN Legal business name Becker, Simon
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2005
Last updated Dec 27th, 2022 - about 2 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 1982605697 NPPES
New Jersey MEDICAID 6702805

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