Provider Demographics
NPI:1225022023
Name:BECK, CARTER E (MD)
Entity Type:Individual
Prefix:DR
First Name:CARTER
Middle Name:E
Last Name:BECK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 WEST BROADWAY STREET
Mailing Address - Street 2:SUITE 310
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-4012
Mailing Address - Country:US
Mailing Address - Phone:406-728-6520
Mailing Address - Fax:406-329-2936
Practice Address - Street 1:500 WEST BROADWAY STREET
Practice Address - Street 2:SUITE 310
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4012
Practice Address - Country:US
Practice Address - Phone:406-728-6520
Practice Address - Fax:406-329-2936
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT9574207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0027693Medicaid
MT0027693Medicaid
MTH23229Medicare UPIN