Bean, Gary Owen

Bean, Gary Owen is an individual health care provider with primary practice located at 4414 Lake Boone Trail Suite 502, Raleigh NC 27607-7514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bean, Gary Owen can be contacted via phone (919) 875-0539.

Contact Information

Primary practice address
4414 Lake Boone Trail Suite 502 Raleigh NC 27607-7514
Phone: (919) 875-0539
Fax: (919) 875-1051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23998 North Carolina

Profile Details

NPI number 1760452312
LBN Legal business name Bean, Gary Owen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jul 8th, 2007 - about 19 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 1760452312 NPPES
North Carolina MEDICAID 8914130

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