Beam, Olivia Paige
Beam, Olivia Paige is an individual health care provider with primary practice located at 2230 Edsel Ln Nw Ste 1 , Corydon IN 47112-2136. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is her primary health care specialty. Beam, Olivia Paige can be contacted via phone (812) 734-0303.Contact Information
Primary practice address
2230 Edsel Ln Nw Ste 1
Corydon IN 47112-2136
Phone: (812) 734-0303
Fax: (812) 225-5145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 71009977A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71009977A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3014110 | Kentucky |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 71009977A | Indiana |
Profile Details
| NPI number | 1720612096 |
|---|---|
| LBN Legal business name | Beam, Olivia Paige |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2020 |
| Last updated | Nov 8th, 2021 - about 5 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 | 1720612096 | NPPES |
| Indiana | MEDICAID | 300037737 | |
| Indiana | MEDICAID | 7100663010 | |
| Indiana | Other | 71009977A | |
| Indiana | Other | ARPN3014110 | |
| Indiana | Other | IN3604041 |
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