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Contact Information

KEITH A BECK, DPM
113 W SUNSET DR
WAUKESHA, WI53189-7604
 Phone: 262-547-2900
 Fax: 262-547-1440
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KEITH A BECK · (Male)

NPI Number 1104877034
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/15/2006
Last updated 10/31/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 791-025
  • WI Medicaid 43230100
  • Other 480033967 RAILROAD MEDICARE
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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