Beckert, Boris Michael

Beckert, Boris Michael is an individual health care provider with primary practice located at 600 W 98Th St , Bloomington MN 55420-4773. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Beckert, Boris Michael can be contacted via phone (502) 775-1211.

Contact Information

Primary practice address
600 W 98Th St Bloomington MN 55420-4773
Phone: (502) 775-1211
Fax: (502) 775-1221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41127 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35570 Minnesota

Profile Details

NPI number 1528059375
LBN Legal business name Beckert, Boris Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2005
Last updated Aug 1st, 2019 - about 5 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 1528059375 NPPES
Wisconsin MEDICAID 32020800
Wisconsin MEDICAID 766363300

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