Individual
MR. JON P BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
727 E 1ST ST, MINDEN, NE 68959-1705
(308) 832-3400
Mailing address
727 E 1ST ST, MINDEN, NE 68959-1705
(308) 832-3400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
583
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37767
BLUE CROSS BLUE SHIELD
NE
Enumeration date
07/14/2006
Last updated
07/09/2007
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