1043407133 NPI number — MR. FRANK JOHN BECKER BS, MT(ASCP)

Table of content: MR. FRANK JOHN BECKER BS, MT(ASCP) (NPI 1043407133)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043407133 NPI number — MR. FRANK JOHN BECKER BS, MT(ASCP)

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BECKER
Provider First Name:
FRANK
Provider Middle Name:
JOHN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
BS, MT(ASCP)
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BECKER
Provider Other First Name:
FRANCIS
Provider Other Middle Name:
JOHN
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1043407133
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/02/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1425 DEERBORN AVE
Provider Second Line Business Mailing Address:
PO BOX 325
Provider Business Mailing Address City Name:
FRIENDSHIP
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53934
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-858-5828
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18300 SAINT JOHN DR
Provider Second Line Business Practice Location Address:
ATT: CHRISTUS ST JOHN HOSPITAL LABORATORY
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77058-6302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-333-5503
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 246QM0706X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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