Beam, Mary Jay
Beam, Mary Jay is an individual health care provider with primary practice located at 12907 Factory Ln Ste B , Louisville KY 40245-5433. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Beam, Mary Jay can be contacted via phone (502) 206-2460.Contact Information
Primary practice address
12907 Factory Ln Ste B
Louisville KY 40245-5433
Phone: (502) 206-2460
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12011042 | Indiana |
| Dental Providers / General Practice | 1223G0001X | 8496 | Kentucky |
Profile Details
| NPI number | 1194928622 |
|---|---|
| LBN Legal business name | Beam, Mary Jay |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2007 |
| Last updated | Nov 17th, 2022 - 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.
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