Individual
DR. EDWARD CHARLES BECKETT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
525 IRON ST, LEHIGHTON, PA 18235-1912
(610) 377-8228
(610) 377-2518
Mailing address
215 S 1ST ST, LEHIGHTON, PA 18235-2163
(610) 377-2490
(610) 377-6744
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002411L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000081724
BLUE SHIELD
PA
05
—
0008589350002
—
PA
01
—
0817242B9A
MEDICARE
PA
01
—
20944
GEISINGER
—
01
—
480033138
RAILROAD MEDICARE #
PA
01
—
50083415
BLUE CROSS
—
Enumeration date
12/02/2005
Last updated
09/14/2011
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