Organization Name: | BONNY L BECK MD P C |
NPI Number: | 1265573703 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BONNY L. BECK (OWNER) |
Mailing Address: | 90 Beaver Dr Suite 121d Du Bois |
State: | PA US |
Postal Code: | 158012440 |
Phone Number: | 8143713323 |
Fax Number: | 8143714022 |
NPI Enumeration Date: | 02/09/2007 |
NPI Last Update Date: | 04/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD027694E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |