Provider Demographics
NPI:1245476613
Name:BECKER, STEPHEN M (DC)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:M
Last Name:BECKER
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 1:2 W NORTHFIELD RD STE 211
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-3758
Mailing Address - Country:US
Mailing Address - Phone:973-535-2774
Mailing Address - Fax:973-577-6151
Practice Address - Street 1:2 W NORTHFIELD RD STE 211
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-3758
Practice Address - Country:US
Practice Address - Phone:973-535-2774
Practice Address - Fax:973-577-6151
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-06
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00510300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor