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NPI Code Detail

MEDICARE: MICHAEL S. BECKER, PC

MEDICARE: MICHAEL S. BECKER, PC
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
11041C0700XClinical Social Worker1551NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255622379
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL S. BECKER, PC
Provider Business Mailing Address
First Line : 942 N 13TH ST
Second Line :
City : GENEVA
State : NE
Zip : 68361-1218
Country : US
Telephone Number : 402-759-3802
Fax Number : 402-759-3803
Provider Business Practice Location Address
First Line : 942 N 13TH ST
Second Line :
City : GENEVA
State : NE
Zip : 68361-1218
Country : US
Telephone Number : 402-759-3802
Fax Number : 402-759-3803
Authorized Official
Title or Position : PRESIDENT
Name : MR. MICHAEL SCOTT BECKER
Credential : MS, MSW, LCSW
Telephone Number : 402-363-8774
Provider Enumeration Date : 04/23/2011
Last Update Date : 04/23/2011

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