Beadle, Ralph Dean

Beadle, Ralph Dean is an sole proprietor health care provider with primary practice located at 16005 Us 23 South , Catlettsburg KY 41129-9070. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Beadle, Ralph Dean can be contacted via phone (606) 739-0403.

Contact Information

Primary practice address
16005 Us 23 South Catlettsburg KY 41129-9070
Fax: (606) 739-0405
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4556 Kentucky

Profile Details

NPI number 1447459029
LBN Legal business name Beadle, Ralph Dean
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2007
Last updated Sep 19th, 2018 - about 8 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 1447459029 NPPES
Kentucky MEDICAID 60045564

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