Beckett, David Ray

Beckett, David Ray is an sole proprietor health care provider with primary practice located at 2333 N Timberline Rd , Flagstaff AZ 86004-7550. He recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as his primary health care specialty. Beckett, David Ray can be contacted via phone (928) 522-8588.

Contact Information

Primary practice address
2333 N Timberline Rd Flagstaff AZ 86004-7550
Fax: (928) 522-0654
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X RN095065 Arizona

Profile Details

NPI number 1134298193
LBN Legal business name Beckett, David Ray
Credentials RNFA,MSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated Jul 8th, 2007 - about 17 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 1134298193 NPPES
Arizona Other AZ0146500 BCBS PROVIDER NUMBER
Arizona Other 363L00000X BCBS PROVIDER NUMBER

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