Provider Demographics
NPI:1710906425
Name:BECK, HOWARD J (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:J
Last Name:BECK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1118 VALLEY VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-3119
Mailing Address - Country:US
Mailing Address - Phone:231-347-6285
Mailing Address - Fax:231-347-6285
Practice Address - Street 1:1118 VALLEY VIEW AVE
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-3119
Practice Address - Country:US
Practice Address - Phone:231-347-6285
Practice Address - Fax:231-347-6285
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301048635207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI040240815OtherBLUE CROSS BLUE SHIELD
MI4084484Medicaid
MI320155717OtherCOMMERCIAL INSURANCE
MI320155717OtherCOMMERCIAL INSURANCE
MI040240815OtherBLUE CROSS BLUE SHIELD