Healthcare Provider Details

I. General information

NPI: 1508956657
Provider Name (Legal Business Name): PATRICIA ANN BECK D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 STATE ST
SHELBURNE FALLS MA
01370-1036
US

IV. Provider business mailing address

130 CHESTNUT HILL LOOP
MONTAGUE MA
01351-9540
US

V. Phone/Fax

Practice location:
  • Phone: 413-625-8494
  • Fax: 413-585-5969
Mailing address:
  • Phone: 413-367-9768
  • Fax: 413-585-5969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1181
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: