Beacham, Timothy

Beacham, Timothy is an individual health care provider with primary practice located at 4201 Springhurst Blvd Ste 102 , Louisville KY 40241-6156. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Beacham, Timothy can be contacted via phone (502) 352-2530.

Contact Information

Primary practice address
4201 Springhurst Blvd Ste 102 Louisville KY 40241-6156
Phone: (502) 352-2530
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 20443 Mississippi
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 20443 Mississippi
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 20443 Mississippi
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 49929 Kentucky

Profile Details

NPI number 1669670360
LBN Legal business name Beacham, Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2007
Last updated Jun 17th, 2024 - about last year

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 1669670360 NPPES
Mississippi MEDICAID 04330519
Mississippi Other 302I057501
Mississippi MEDICAID 7100473360
Mississippi Other 343174YXV2

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