MEDICARE: GARY N BECKER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	B-961	NV

General Provider Information

NPI Number	:	1851321210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARY N BECKER DC

Provider Business Mailing Address
First Line	:	1697 STARLIGHT PEAK CT
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-2026
Country	:	US
Telephone Number	:	702-561-5521
Fax Number	:	702-869-9134

Provider Business Practice Location Address
First Line	:	4925 W CRAIG RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-2730
Country	:	US
Telephone Number	:	702-656-7460
Fax Number	:	702-656-7461

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	07/08/2007

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Directions to “ GARY N BECKER DC” Practice Location

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