# BECKER CLINIC LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Becker Clinic of Chiropractic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568473304
- **Authorized official:** MRS. CAROL WADE POWELL RT (CLINIC MANAGER)
- **Authorized official phone:** (540) 563-0334

## Contact information

- **Practice address:** 6206 PETERS CREEK ROAD, ROANOKE, VA 24019
- **Practice address phone:** (540) 563-0334
- **Practice address fax:** (540) 563-0122
- **Mailing address:** 6206 PETERS CREEK ROAD, ROANOKE, VA 24019
- **Mailing address phone:** (540) 563-0334
- **Mailing address fax:** (540) 563-0122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 0104000126 | VA | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 025540 | ANTHEM | — |