John R Becker Jr Md Inc | |
550 Parmalee Ave Suite 200 Youngstown OH 44510-1602 | |
(330) 746-4001 | |
(330) 480-6319 |
Full Name | John R Becker Jr Md Inc |
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Speciality | Psychiatry & Neurology |
Location | 550 Parmalee Ave, Youngstown, Ohio |
Authorized Official Name and Position | Cyndee Fisher (ACCOUNTS MANAGER) |
Authorized Official Contact | 3303302708494 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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John R Becker Jr Md Inc 550 Parmalee Ave Suite 200 Youngstown OH 44510-1602 Ph: (330) 746-4001 | John R Becker Jr Md Inc 550 Parmalee Ave Suite 200 Youngstown OH 44510-1602 Ph: (330) 746-4001 |
NPI Number | 1063611309 |
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Provider Enumeration Date | 07/17/2007 |
Last Update Date | 09/30/2011 |
Medicare PECOS PAC ID | 7113185893 |
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Medicare Enrollment ID | O20120227000597 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063611309 | NPI | - | NPPES |
0104489 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (Ohio) | Primary |
Provider Name | John R Becker |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1093796427 PECOS PAC ID: 8123021300 Enrollment ID: I20070906000523 |
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