B J Beckerrn is a Adult Companion in West Bend, Wisconsin. B J Beckerrn practices all healthcare services and medical treatments related to Adult Companion. The NPI Number for B J Beckerrn is 1811048739. The last update date is 2007-07-09.
B J Beckerrn's current location address is 6283 Riesch Rd, West Bend, Wisconsin. You can contact this provider via phone number 2623341021 and fax number 2623340556. The mailing address for B J Beckerrn is 6283 Riesch Rd, West Bend, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | B J Beckerrn |
|---|---|
| Address | 6283 Riesch Rd, West Bend, Wisconsin |
| Phone Number | 2623341021 |
| Fax Number | 2623340556 |
| Sole Proprietor | Y |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1811048739 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 6283 Riesch Rd |
|---|---|
| City | West Bend |
| State | Wisconsin (WI) |
| Post Code | 530959106 |
| Phone Number | 2623341021 |
| Fax Number | 2623340556 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Companion |
|---|---|
| Taxonomy | 372600000X |
| Licence No | 39979100 |
|
Definition: An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3095070 | WI | PRIOR AUTHROIZATION # |
Post Comment/ Review Below
What is the unique identifier code issued to B J Beckerrn by the Centers for Medicare & Medicaid Services (CMS)?
The B J Beckerrn has been assigned the NPI (National Provider Identifier) 1811048739. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of B J Beckerrn?
The B J Beckerrn is physically situated at 6283 Riesch Rd, in the city of West Bend, state of WI, with the postal code 530959106.
What is B J Beckerrn's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for B J Beckerrn is Adult Companion, and the taxonomy classification code that categorizes this area of expertise is 372600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1811048739 to B J Beckerrn?
The B J Beckerrn received its 1811048739 assignment from the Centers for Medicare & Medicaid Services on 2007-01-16.
When was the information related to B J Beckerrn most recently updated or refreshed?
The details pertaining to the B J Beckerrn, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.
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