Provider Demographics
NPI:1508956657
Name:BECK, PATRICIA ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ANN
Last Name:BECK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 CHESTNUT HILL LOOP
Mailing Address - Street 2:
Mailing Address - City:MONTAGUE
Mailing Address - State:MA
Mailing Address - Zip Code:01351-9540
Mailing Address - Country:US
Mailing Address - Phone:413-367-9768
Mailing Address - Fax:413-585-5969
Practice Address - Street 1:5 STATE ST
Practice Address - Street 2:
Practice Address - City:SHELBURNE FALLS
Practice Address - State:MA
Practice Address - Zip Code:01370-1036
Practice Address - Country:US
Practice Address - Phone:413-625-8494
Practice Address - Fax:413-585-5969
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1181111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA424047OtherHARVARD PILGRIM HEALTH CA
MABEY36021OtherBLUE CROSS
MABEY36021OtherBLUE CROSS