Individual
SHAROLYN KAY BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT (ASCP)
Contact information
Practice address
1400 DOUGLAS ST STOP 0030, OMAHA, NE 68179-0030
(402) 544-3741
(402) 501-0475
Mailing address
10006 PRATT ST, OMAHA, NE 68134-4542
(402) 571-3263
(402) 501-0475
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053409
MEDICAL TECHNOLOGIST
NE
Enumeration date
11/16/2006
Last updated
07/08/2007
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