Becker, Theodore James

Becker, Theodore James is an individual health care provider with primary practice located at 111 E Century Ave , Bismarck ND 58503-0412. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Becker, Theodore James can be contacted via phone (701) 222-1420.

Contact Information

Primary practice address
111 E Century Ave Bismarck ND 58503-0412
Phone: (701) 222-1420
Fax: (701) 255-2414
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 368 North Dakota

Profile Details

NPI number 1780624767
LBN Legal business name Becker, Theodore James
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Mar 7th, 2023 - about last year

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 1780624767 NPPES
Other 60383 ND SOCIAL SERVICE
Other 26312 ND SOCIAL SERVICE
Other D001533 ND SOCIAL SERVICE
Other 12144 ND SOCIAL SERVICE
Other 800368 ND SOCIAL SERVICE
MEDICAID 60383 ND SOCIAL SERVICE
Other 8803 ND SOCIAL SERVICE

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