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Individual

DR. JULIE ELLEN BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
810 S 6TH ST, MONTICELLO, IN 47960-8201
(765) 448-8000
(574) 583-9502
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01058294A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000368650
ANTHEN BLUE CROSS
IN
05
200528280
IN
01
7202698
AETNA
IN
01
921430S
MEDICARE ID
IN
Enumeration date
06/01/2005
Last updated
10/12/2022
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