Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | DO-04988 | IA |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 68128 | MT |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | DO-04988 | IA |
NPI | 1043570880 |
---|---|
Provider Name | Lindsey J Beck |
First Address | Billings, MT 59101-7507 |
Second Address | Billings, MT 59101-7507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2012 |
Last Update Date | 12/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
68128 | LICENSE (01) | MT |