# BECKING CHIROPRACTIC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891982112
- **Authorized official:** DR. ERIC L BECKING D.C (OWNER)
- **Authorized official phone:** (573) 243-9777

## Contact information

- **Practice address:** 528 E JACKSON BLVD, JACKSON, MO 63755-2426
- **Practice address phone:** (573) 243-9777
- **Practice address fax:** (573) 243-9799
- **Mailing address:** 528 E JACKSON BLVD, JACKSON, MO 63755-2426
- **Mailing address phone:** (573) 243-9777
- **Mailing address fax:** (573) 243-9799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2004010548 | MO | Yes |

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 10/29/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 196119 | BLUE CROSS/BLUE SHIELD | MO |
| 01 | — | 706115 | HEALTHLINK | MO |
| 01 | — | V05477 | UPIN | MO |
