Individual
DR. CHARLES ALLEN BECK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8330 NAAB RD, SUITE 235, INDIANAPOLIS, IN 46260-5925
(317) 228-9270
Mailing address
4345 BLACK OAK DR, INDIANAPOLIS, IN 46228-3109
(502) 608-0261
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
02003209A
IN
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
11012192A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201088610
—
IN
Enumeration date
05/16/2007
Last updated
11/02/2012
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