Beasley, Heather
Beasley, Heather is an sole proprietor health care provider with primary practice located at 700 S Main St , Moscow ID 83843-3046. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Beasley, Heather can be contacted via phone (208) 882-4511.Contact Information
Primary practice address
700 S Main St
Moscow ID 83843-3046
Phone: (208) 882-4511
Fax: (208) 883-6580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD.61076165 | Washington |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | M-14905 | Idaho |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | New Mexico |
Profile Details
| NPI number | 1265895510 |
|---|---|
| LBN Legal business name | Beasley, Heather |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2016 |
| Last updated | Mar 30th, 2026 - about 7 months 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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