Beaman, Jason Walter

Beaman, Jason Walter is an sole proprietor health care provider with primary practice located at 5310 E 31St St Fl Ll , Tulsa OK 74135-5018. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Forensic Psychiatry. Allopathic & Osteopathic Physicians / Forensic Psychiatry is his primary health care specialty. Beaman, Jason Walter can be contacted via phone (918) 236-4000.

Contact Information

Primary practice address
5310 E 31St St Fl Ll Tulsa OK 74135-5018
Fax: (918) 236-4001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4615 Oklahoma
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 4615 Oklahoma

Profile Details

NPI number 1720274376
LBN Legal business name Beaman, Jason Walter
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2007
Last updated May 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720274376 NPPES
Oklahoma Other 304297YM2Y MEDICARE
Oklahoma MEDICAID 200207470A MEDICARE

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