Becker, Thomas C

Becker, Thomas C is an individual health care provider with primary practice located at 3240 Jackson St , Oshkosh WI 54901. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Becker, Thomas C can be contacted via phone (920) 231-0143.

Contact Information

Primary practice address
3240 Jackson St Oshkosh WI 54901
Phone: (920) 231-0143
Fax: (920) 231-4246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 874132 Wisconsin

Profile Details

NPI number 1447420641
LBN Legal business name Becker, Thomas C
Credentials CERTIFIED SUBSTANCE
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2008
Last updated Jan 29th, 2020 - about 4 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 1447420641 NPPES
Wisconsin MEDICAID 39318600

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