Beach, Laura

Beach, Laura is an individual health care provider with primary practice located at 8865 W 400 N Ste 155 , Michigan City IN 46360-9010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Beach, Laura can be contacted via phone (219) 872-5655.

Contact Information

Primary practice address
8865 W 400 N Ste 155 Michigan City IN 46360-9010
Phone: (219) 872-5655
Fax: (219) 872-2712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71005574A Indiana

Profile Details

NPI number 1851772917
LBN Legal business name Beach, Laura
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2015
Last updated Feb 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851772917 NPPES
Indiana Other 000000953975 BCBS BMG VASCULAR
Indiana MEDICAID 201307050 BCBS BMG VASCULAR
Indiana Other P01743678 BCBS BMG VASCULAR

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