Individual
JENNIFER L. BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
853 N CHURCH ST, SUITE 720A, SPARTANBURG, SC 29303-3098
(864) 560-6844
(864) 560-7015
Mailing address
22180 OLYMPIC COLLEGE WAY NW STE 102, POULSBO, WA 98370-6664
(360) 779-4444
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
35487
SC
207RR0500X
Rheumatology Physician
49636
CT
207RR0500X
Rheumatology Physician
Primary
MD60795325
WA
207RR0500X
Rheumatology Physician
TL35487
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2094534
—
WA
05
—
354878
—
SC
01
—
P01194322
RAILROAD MEDICARE
SC
Enumeration date
05/03/2007
Last updated
12/01/2020
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