Becker, Tanya Jean

Becker, Tanya Jean is an sole proprietor health care provider with primary practice located at 126 Prospect St , Pawtucket RI 02860-4429. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Becker, Tanya Jean can be contacted via phone (401) 728-9206.

Contact Information

Primary practice address
126 Prospect St Pawtucket RI 02860-4429
Phone: (401) 728-9206
Fax: (401) 722-6960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD10708 Rhode Island

Profile Details

NPI number 1053303669
LBN Legal business name Becker, Tanya Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2005
Last updated Jul 15th, 2013 - about 12 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 1053303669 NPPES
Rhode Island MEDICAID TB55273

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