Individual
MICHAEL L BECKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8005 RODEBAUGH RD, REYNOLDSBURG, OH 43068-9306
(614) 604-8240
Mailing address
8005 RODEBAUGH RD, REYNOLDSBURG, OH 43068-9306
(614) 604-8240
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
G06851
OH
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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