Becton, Wendell W

Becton, Wendell W is an individual health care provider with primary practice located at 1111 Trinity Lane Suite 111, Bloomington IL 61704-3738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Becton, Wendell W can be contacted via phone (309) 663-6461.

Contact Information

Primary practice address
1111 Trinity Lane Suite 111 Bloomington IL 61704-3738
Phone: (309) 663-6461
Fax: (309) 663-5711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 036093050 Illinois

Profile Details

NPI number 1649237504
LBN Legal business name Becton, Wendell W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jan 16th, 2018 - about 7 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 1649237504 NPPES
Illinois MEDICAID 036093050

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