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Individual

DR. PHILIP S. BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
320 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-3410
(859) 341-4266
(859) 341-4144
Mailing address
4805 MONTGOMERY RD, SUITE 150, CINCINNATI, OH 45212-2198
(513) 961-5558
(513) 961-1912

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
27138
KY
2084N0400X
Neurology Physician
35-060027
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000526921
ANTHEM
KY
01
00384
MEDICARE GROUP NUMBER
KY
01
05-20161
UNITED HEALTHCARE
OH
05
0791737
OH
05
200070230A
IN
01
2377438-002
CIGNA
OH
05
64271380
KY
01
646978
AETNA
OH
Enumeration date
11/22/2005
Last updated
09/15/2020
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