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JOHN R BECKER JR MD INC NPI 1063611309


NPI Information

NPI: 1063611309
Provider Name: JOHN R BECKER JR MD INC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
550 PARMALEE AVE
SUITE 200
YOUNGSTOWN, OH
ZIP 44510
Phone: (330) 746-4001
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JOHN R BECKER JR MD INC is a neurology psychiatry neurology in Youngstown, OH. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. JOHN R BECKER JR MD INC NPI is 1063611309. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

550 PARMALEE AVE
SUITE 200
YOUNGSTOWN, OH
ZIP 44510-602
Phone: (330) 746-4001
Fax: (330) 480-6319

The provider's authorized official is Cyndee Fisher .
The authorized official title is Accounts Manager and has the following contact phone number 3303302708494.

The enumeration date for this NPI number is 7/17/2007 and was last updated on 9/30/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10104489MEDICAIDOHIO
2SP03131MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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