Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 7741 | NE |
NPI | 1295408342 |
---|---|
Provider Name | Dr. Rebecca Beckler |
First Address | Grand Island, NE 68803-1334 |
Second Address | Grand Island, NE 68803-1334 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2021 |
Last Update Date | 26/07/2021 |