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NPI Code Detail

MEDICARE: MELISSA M BECKER MD

MEDICARE: MELISSA M BECKER MD
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 Physician35079962OH

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 : 1174514087
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA M BECKER MD
Provider Business Mailing Address
First Line : 715 RICHLAND MALL
Second Line : SUITE A
City : ONTARIO
State : OH
Zip : 44906-3802
Country : US
Telephone Number : 419-522-0948
Fax Number :
Provider Business Practice Location Address
First Line : 715 RICHLAND MALL
Second Line : SUITE A
City : ONTARIO
State : OH
Zip : 44906-3802
Country : US
Telephone Number : 419-522-0948
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 12/28/2020

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Directions to “ MELISSA M BECKER MD” Practice Location

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