Provider Demographics
NPI:1558502567
Name:BECKER, VOLKER W (LAC, ND)
Entity Type:Individual
Prefix:
First Name:VOLKER
Middle Name:W
Last Name:BECKER
Suffix:
Gender:M
Credentials:LAC, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 30TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-1200
Mailing Address - Country:US
Mailing Address - Phone:303-402-0932
Mailing Address - Fax:
Practice Address - Street 1:2600 30TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1200
Practice Address - Country:US
Practice Address - Phone:303-402-0932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-20
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO575171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist