; NPI #1164751038

Contact Information

RONNIE D BECK

1101 WIMBLEDON DR
LODI, CA 95240-7022

Phone: 209-451-8603
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Nursing Facility Supplies	332BN1400X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for

NPI Number	`1164751038`
Entity	Organization
Organization subpart ¹	Not specified
Enumeration date	12/23/2009
Last updated	12/23/2009 - About 16 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Contact Information

Specialty

Nursing Facility Supplies

NPI Profile & details for

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