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Contact Information

BROOKE BECKER
1547 30TH AVE S
MOORHEAD, MN56560-5149
 Phone: 218-287-4338
 Fax: 218-287-5928
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for BROOKE BECKER · (Female)

NPI # 1831724749
Status Active
Credentials
Entity Individual
Enumeration date 03/11/2020
Last updated 11/18/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • MN License # CC03930
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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