Beacham, Gregory

Beacham, Gregory is an individual health care provider with primary practice located at 7700 Old Branch Ave , Clinton MD 20735-1628. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Beacham, Gregory can be contacted via phone (202) 649-0506.

Contact Information

Primary practice address
7700 Old Branch Ave Clinton MD 20735-1628
Phone: (202) 649-0506
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X M04919 Maryland
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT1474 District of Columbia

Profile Details

NPI number 1164889390
LBN Legal business name Beacham, Gregory
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2016
Last updated Jan 19th, 2016 - about 10 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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