| Melissa Becker, Llc | |
|
661 Park Ave E Mansfield OH 44905-2880 | |
| (419) 522-0948 | |
| (419) 526-7347 |
| Full Name | Melissa Becker, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 661 Park Ave E, Mansfield, Ohio |
| Authorized Official Name and Position | Melissa Becker (MEDICAL DOCTOR) |
| Authorized Official Contact | 4195220948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Becker, Llc 661 Park Ave E Mansfield OH 44905-2880 Ph: (419) 522-0948 | Melissa Becker, Llc 661 Park Ave E Mansfield OH 44905-2880 Ph: (419) 522-0948 |
| NPI Number | 1114954617 |
|---|---|
| Provider Enumeration Date | 06/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114954617 | NPI | - | NPPES |
| 2283461 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35079962B (Ohio) | Primary |
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