Beach, Laurie J

Beach, Laurie J is an individual health care provider with primary practice located at 131 Medical Park Rd Suite 201, Mooresville NC 28117-8522. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Beach, Laurie J can be contacted via phone (704) 662-0877.

Contact Information

Primary practice address
131 Medical Park Rd Suite 201 Mooresville NC 28117-8522
Phone: (704) 662-0877
Fax: (704) 662-0875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 37789 North Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 17971 South Carolina

Profile Details

NPI number 1972612133
LBN Legal business name Beach, Laurie J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Mar 7th, 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 1972612133 NPPES
North Carolina Other 13986 BCBS
North Carolina MEDICAID 8913986 BCBS

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