MEDICARE: DR. SCOTT A. BECK D.C.

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	38MC00637900	NJ

General Provider Information

NPI Number	:	1205877735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT A. BECK D.C.

Provider Business Mailing Address
First Line	:	1000 COMMONS WAY
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-6429
Country	:	US
Telephone Number	:	732-341-0070
Fax Number	:	732-341-0270

Provider Business Practice Location Address
First Line	:	1000 COMMONS WAY
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-6429
Country	:	US
Telephone Number	:	732-341-0070
Fax Number	:	732-341-0270

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	05/18/2016

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