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Contact Information

JACOB BECKER
1000 BLOSSOM ST
COLUMBIA, SC29208-2909
 Phone: 641-780-1230
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist

225500000X
Indicates primary specialty

NPI Profile & details for JACOB BECKER · (Male)

NPI Number 1649969247
Status Active
Credentials
Entity Individual
Enumeration date 05/01/2023
Last updated 05/01/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # 1060760
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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