Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD31304 | TN |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 31304 | TN |
NPI | 1205804473 |
---|---|
Provider Name | Dr. Paul Lawrence Becker |
First Address | Knoxville, TN 37922-3355 |
Second Address | Knoxville, TN 37922-3355 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 14/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200037583 | RAILROAD MEDICARE (01) | TN |
3134233 | BLUE CROSS BLUE SHIELD (01) | TN |
3847085 | (05) | TN |
7100119450 | KY MEDICAID (01) | KY |
7904152 | AETNA (01) | TN |
H04665 | (02) | |
P00851100 | RAILROAD MEDICARE (01) | |
TN0172 | JOHN DEERE HEALTHCARE (01) | TN |
TN0195 | JOHN DEERE HEALTHCARE (01) | TN |
TN0196 | JOHN DEERE HEALTHCARE (01) | TN |