| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 07/17/2007 |
| Last Update Date | 09/30/2011 |
| Medicare PECOS PAC ID | 7113185893 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093796427 PECOS PAC ID: 8123021300 Enrollment ID: I20070906000523 |
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