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NPI Code Detail

MEDICARE: BECKY HOLLIBAUGH DO

MEDICARE: BECKY HOLLIBAUGH DO
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
1207Q00000XFamily Medicine Physician0102209724VA
2207Q00000XFamily Medicine Physician504NE
3207Q00000XFamily Medicine PhysicianOS025496CPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982618369
Entity Type Code : Individual
Provider Name (Legal Business Name) : BECKY HOLLIBAUGH DO
Provider Business Mailing Address
First Line : 224 S MARKET ST
Second Line :
City : SHICKLEY
State : NE
Zip : 68436-4038
Country : US
Telephone Number : 225-288-9300
Fax Number :
Provider Business Practice Location Address
First Line : 1440 W TAYLOR ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-4623
Country : US
Telephone Number : 701-857-7370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 01/15/2026

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Directions to “ BECKY HOLLIBAUGH DO” Practice Location

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