Provider Demographics
NPI:1730127846
Name:BECKMAN, JOSEPH E (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:E
Last Name:BECKMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 GRANVILLE ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-4443
Mailing Address - Country:US
Mailing Address - Phone:740-366-1302
Mailing Address - Fax:740-366-1303
Practice Address - Street 1:219 GRANVILLE ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-4443
Practice Address - Country:US
Practice Address - Phone:740-366-1302
Practice Address - Fax:740-366-1303
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH77111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHBE0409802Medicare ID - Type UnspecifiedCHIROPRACTOR