Dr. Jerry Becker
Internist - Cardiovascular Disease
415 W Columbia St
Evansville
, Indiana 47710-1656
Dr. Jerry Becker
Internist - Cardiovascular Disease
415 W Columbia St
Evansville
, Indiana 47710-1656
(812) 464-0559
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Dr. Jerry Becker
- 415 W Columbia St
- Evansville, IN
- Zip : 47710-1656
- Fax : (812) 464-0559
- Phone : (812) 464-9133
Second Address
- Dr. Jerry Becker
- 415 W Columbia St
- Evansville, IN
- Zip : 47710-1656
- Fax : (812) 464-0559
- Phone : (812) 464-9133
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | 01019382A | IN |
National Provider Identifier
| NPI | 1023091725 |
|---|---|
| Provider Name | Dr. Jerry Becker |
| First Address | Evansville, IN 47710-1656 |
| Second Address | Evansville, IN 47710-1656 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/11/2005 |
| Last Update Date | 23/02/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100344130 | (05) | IN |
| 64003940 | (05) | KY |
| C25818 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.