Bealke, Judith M

Bealke, Judith M is an sole proprietor health care provider with primary practice located at 702 Barnhill Dr Rm. 4300, Indianapolis IN 46202-5128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Bealke, Judith M can be contacted via phone (317) 274-8162.

Contact Information

Primary practice address
702 Barnhill Dr Rm. 4300 Indianapolis IN 46202-5128
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 01042937 Indiana

Profile Details

NPI number 1023061967
LBN Legal business name Bealke, Judith M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated Aug 12th, 2007 - about 16 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 1023061967 NPPES
Indiana MEDICAID 100389290

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