Individual
DR. SHANE BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
300 S LENOLA RD, # 23, MAPLE SHADE, NJ 08052-3435
(856) 733-0684
Mailing address
300 S LENOLA RD, # 23, MAPLE SHADE, NJ 08052-3435
(856) 733-0684
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00750600
NJ
Other
Enumeration date
03/07/2018
Last updated
05/14/2018
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