Beach, Laurie Ann

Beach, Laurie Ann is an individual health care provider with primary practice located at 212 College St , Pilot Grove MO 65276-1005. 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, Laurie Ann can be contacted via phone (660) 831-3728.

Contact Information

Primary practice address
212 College St Pilot Grove MO 65276-1005
Phone: (660) 831-3728
Fax: (660) 831-3326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 110297 Missouri

Profile Details

NPI number 1811993264
LBN Legal business name Beach, Laurie Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Feb 25th, 2022 - about 4 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 1811993264 NPPES
Missouri Other 000082595 MEDICARE NUMBER
Missouri Other 001014600 MEDICARE NUMBER

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