MEDICARE: FRANCIS EVAN BECKER M.D.

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	174400000X	Specialist	D0030496	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110100377	OTHER	MD	MEDICARE RAILROAD

Other Identifiers

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

General Provider Information

NPI Number	:	1538140876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCIS EVAN BECKER M.D.

Provider Business Mailing Address
First Line	:	DIV OF PSYCH PRODUCTS FDA HFD 130 BLDG 22 RM 4235
Second Line	:	10903 NEW HAMPSHIRE AVENUE
City	:	SILVER SPRING
State	:	MD
Zip	:	20993-0001
Country	:	US
Telephone Number	:	301-796-2288
Fax Number	:	301-796-9838

Provider Business Practice Location Address
First Line	:	DIV OF PSYCH PRODUCTS FDA HFD 130 BLDG 22 RM 4235
Second Line	:	10903 NEW HAMPSHIRE AVENUE
City	:	SILVER SPRING
State	:	MD
Zip	:	20993-0001
Country	:	US
Telephone Number	:	301-796-2288
Fax Number	:	301-796-9838

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

Provider Enumeration Date	:	11/11/2005
Last Update Date	:	06/23/2008

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