Provider Demographics
NPI:1003894593
Name:BECKER, JAMES ELIAS (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ELIAS
Last Name:BECKER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1550 HWY 71 NE
Mailing Address - Street 2:WILLMAR REGIONAL TREATMENT CENTER
Mailing Address - City:WILLMAR
Mailing Address - State:MN
Mailing Address - Zip Code:56201-9599
Mailing Address - Country:US
Mailing Address - Phone:320-231-5100
Mailing Address - Fax:320-231-5329
Practice Address - Street 1:1550 HWY 71 NE
Practice Address - Street 2:WILLMAR REGIONAL TREATMENT CENTER
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-9599
Practice Address - Country:US
Practice Address - Phone:320-231-5100
Practice Address - Fax:320-231-5329
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MN277332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MND75621Medicare UPIN