Provider Demographics
NPI:1437324811
Name:BECKETT RESEARCH & EDU CONSULTATION
Entity Type:Organization
Organization Name:BECKETT RESEARCH & EDU CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:BECKETT
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:928-522-8588
Mailing Address - Street 1:2333 N TIMBERLINE RD
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86004-7550
Mailing Address - Country:US
Mailing Address - Phone:928-522-8588
Mailing Address - Fax:888-329-6432
Practice Address - Street 1:2333 N TIMBERLINE RD
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86004-7550
Practice Address - Country:US
Practice Address - Phone:928-522-8588
Practice Address - Fax:888-329-6432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN095065163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty