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Contact Information

THOMAS C BECKER, CERTIFIED SUBSTANCE
3240 JACKSON ST
OSHKOSH, WI54901
 Phone: 920-231-0143
 Fax: 920-231-4246
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for THOMAS C BECKER · (Male)

NPI Number 1447420641
Status Active
Credentials CERTIFIED SUBSTANCE
Entity Individual
Enumeration date 03/04/2008
Last updated 01/29/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 874132
  • WI Medicaid 39318600
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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