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Contact Information

JERRY BECKER, MD
415 W COLUMBIA ST
EVANSVILLE, IN47710-1656
 Phone: 812-464-9133
 Fax: 812-464-0559
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JERRY BECKER · (Male)

NPI Number 1023091725
Status Active
Credentials MD
Entity Individual
Enumeration date 11/28/2005
Last updated 02/23/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01019382A
  • IN Medicaid 100344130
  • KY Medicaid 64003940
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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