Individual
MR. JOHN BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
715 N SAINT JOSEPH AVE, HASTINGS, NE 68901-4451
(402) 463-4521
Mailing address
715 N SAINT JOSEPH AVE, HASTINGS, NE 68901-4451
(402) 463-4521
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18919
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02776
BLUE CROSS BLUE SHIELD NE
NE
05
—
1659373199
—
NE
Enumeration date
08/15/2005
Last updated
08/17/2010
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