Michael Scott Becker in Cleveland - Physician Assistant
Michael Scott Becker - NPI 1053459875
Michael Scott Becker is a Physician Assistant in Cleveland, Tennessee. Michael Scott Becker practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael Scott Becker is 1053459875. The last update date is 2010-12-30.
Michael Scott Becker's current location address is 2725 Keith Street Nw, Cleveland, Tennessee. You can contact this provider via phone number 4234763330 and fax number 4724765802. The mailing address for Michael Scott Becker is 2725 Keith Street Nw, Cleveland, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Scott Becker |
|---|---|
| Address | 2725 Keith Street Nw, Cleveland, Tennessee |
| Phone Number | 4234763330 |
| Fax Number | 4724765802 |
| Sole Proprietor | N |
| Credentials | MPAS PAC |
NPI Number Detail
| NPI Number | 1053459875 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2010-12-30 |
Provider Mailing Address Detail
| Address | 2725 Keith Street Nw |
|---|---|
| City | Cleveland |
| State | Tennessee (TN) |
| Post Code | 37312 |
| Phone Number | 4234763330 |
| Fax Number | 4724765802 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA0000000148 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4009401 | BCBS |
Post Comment/ Review Below
What is the Michael Scott Becker's unique identification number?
The Michael Scott Becker has been assigned the NPI (National Provider Identifier) Number 1053459875 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Michael Scott Becker's physical address?
The Michael Scott Becker is physically located at 2725 Keith Street Nw, in the city of Cleveland, TN, with the postal code 37312.
What is Michael Scott Becker's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael Scott Becker's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053459875 to Michael Scott Becker?
The Michael Scott Becker received its 1053459875 assignment from the Centers for Medicare & Medicaid Services on 2007-02-02.
When was the information pertaining to Michael Scott Becker most recently updated or revised?
The details related to Michael Scott Becker, including its address, specialty, and other relevant information, were last updated or revised on 2010-12-30.