Provider Demographics
NPI:1548310410
Name:BECKER, ALLISON RAE (ND, LAC)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:RAE
Last Name:BECKER
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53536-1113
Mailing Address - Country:US
Mailing Address - Phone:608-346-2802
Mailing Address - Fax:
Practice Address - Street 1:7 E MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:WI
Practice Address - Zip Code:53536-1370
Practice Address - Country:US
Practice Address - Phone:608-882-1388
Practice Address - Fax:608-882-1399
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI500-055171100000X
WI6041-170175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty
No171100000XOther Service ProvidersAcupuncturist