Organization Name: | LYNN BEALS-BECKER, D.O., PLC |
NPI Number: | 1003017310 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNN BEALS-BECKER (MEMBER) |
Mailing Address: | 4470 Jackson Rd Suite 101 Ann Arbor |
State: | MI US |
Postal Code: | 481031834 |
Phone Number: | 7342132996 |
Fax Number: | 7342132997 |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 5101012614 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |