Beckmann, Michael Jon
Beckmann, Michael Jon is an individual health care provider with primary practice located at 701 N 1St St Memorial Medical Center, Springfield IL 62781. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Beckmann, Michael Jon can be contacted via phone (217) 788-3064.Contact Information
Primary practice address
701 N 1St St Memorial Medical Center
Springfield IL 62781
Phone: (217) 788-3064
Fax: (217) 788-5577
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | Illinois |
Profile Details
NPI number | 1215040068 |
---|---|
LBN Legal business name | Beckmann, Michael Jon |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 16th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215040068 | NPPES |
Illinois | MEDICAID | 0360959161 |
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