MEDICARE: DR. PATRICK ALLAN 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	7647	AZ

General Provider Information

NPI Number	:	1811903008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK ALLAN BECK D.C.

Provider Business Mailing Address
First Line	:	2840 HIWAY 95
Second Line	:	SUITE 420
City	:	BULLHEAD CITY
State	:	AZ
Zip	:	86442-7792
Country	:	US
Telephone Number	:	928-234-8007
Fax Number	:	928-277-8002

Provider Business Practice Location Address
First Line	:	2840 HIWAY 95
Second Line	:	SUITE 420
City	:	BULLHEAD CITY
State	:	AZ
Zip	:	86442-7792
Country	:	US
Telephone Number	:	928-234-8007
Fax Number	:	928-277-8002

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

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	12/05/2011

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