Provider Demographics
NPI:1760835201
Name:BECK, RUTH
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:BECK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 DAVIS BLVD
Mailing Address - Street 2:
Mailing Address - City:SIKESTON
Mailing Address - State:MO
Mailing Address - Zip Code:63801-4736
Mailing Address - Country:US
Mailing Address - Phone:573-621-5050
Mailing Address - Fax:573-621-5119
Practice Address - Street 1:1006 DAVIS BLVD
Practice Address - Street 2:
Practice Address - City:SIKESTON
Practice Address - State:MO
Practice Address - Zip Code:63801-4736
Practice Address - Country:US
Practice Address - Phone:573-621-5050
Practice Address - Fax:573-621-5119
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-20
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No372500000XNursing Service Related ProvidersChore Provider