Individual
MR. CHADRICK GORDON BECKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
1850 IDAHO ST, LEWISTON, ID 83501-2575
(208) 746-6068
(208) 743-2025
Mailing address
1850 IDAHO ST, LEWISTON, ID 83501-2575
(208) 746-6068
(208) 743-2025
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
HA-1062
ID
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HA-1062
ID
Other
Enumeration date
09/21/2009
Last updated
02/14/2022
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