Bean, Marilyn Louise
Bean, Marilyn Louise is an individual health care provider with primary practice located at 2341 Mccallie Ave Suite 402, Chattanooga TN 37404-3239. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Bean, Marilyn Louise can be contacted via phone (423) 698-3309.Contact Information
Primary practice address
2341 Mccallie Ave Suite 402
Chattanooga TN 37404-3239
Phone: (423) 698-3309
Fax: (423) 624-6355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD33875 | Tennessee |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD38175 | Georgia |
Profile Details
| NPI number | 1366417545 |
|---|---|
| LBN Legal business name | Bean, Marilyn Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Sep 17th, 2013 - about 13 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 | 1366417545 | NPPES |
| Tennessee | MEDICAID | 3850312 | |
| Tennessee | Other | 4346932 | |
| Tennessee | Other | 3141181 |
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