Beacom, Amy Stromwall
Beacom, Amy Stromwall is an individual health care provider with primary practice located at 2090 Woodwinds Dr , Woodbury MN 55125-2522. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Beacom, Amy Stromwall can be contacted via phone (651) 968-5801.Contact Information
Primary practice address
2090 Woodwinds Dr
Woodbury MN 55125-2522
Phone: (651) 968-5801
Fax: (651) 968-5899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207PS0010X | 47575 | Minnesota |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 47575 | Minnesota |
Profile Details
| NPI number | 1538137732 |
|---|---|
| LBN Legal business name | Beacom, Amy Stromwall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Mar 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538137732 | NPPES |
| Minnesota | MEDICAID | 136614900 | |
| Minnesota | Other | P00240678 |
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