Provider Demographics
NPI:1073643508
Name:BECKORD'S INC.
Entity type:Organization
Organization Name:BECKORD'S INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NIKI
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-782-5724
Mailing Address - Street 1:2922 WILDWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49202-3949
Mailing Address - Country:US
Mailing Address - Phone:517-782-5724
Mailing Address - Fax:517-782-2057
Practice Address - Street 1:2922 WILDWOOD AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49202-3949
Practice Address - Country:US
Practice Address - Phone:517-782-5724
Practice Address - Fax:517-782-2057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501001375237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty