Provider Demographics
NPI:1194563619
Name:BECK, ALEC R
Entity type:Individual
Prefix:DR
First Name:ALEC
Middle Name:R
Last Name:BECK
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:ALEC
Other - Middle Name:R
Other - Last Name:BECK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:54989 SHELBY RD
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-1448
Mailing Address - Country:US
Mailing Address - Phone:248-656-7194
Mailing Address - Fax:248-656-7195
Practice Address - Street 1:54989 SHELBY RD
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316-1448
Practice Address - Country:US
Practice Address - Phone:248-656-7194
Practice Address - Fax:248-656-7195
Is Sole Proprietor?:No
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301401551111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor