Individual
BECKY PURKAPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2373 64TH ST SW STE 1300, BYRON CENTER, MI 49315-7975
(616) 685-4350
Mailing address
PO BOX 776974, CHICAGO, IL 60677-6974
(800) 494-5797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD193089
OR
390200000X
Student in an Organized Health Care Education/Training Program
32294
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OR
Enumeration date
05/11/2016
Last updated
10/11/2023
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