Beatty, Chad Laurent

Beatty, Chad Laurent is an individual health care provider with primary practice located at 555 Delaware St , Tonawanda NY 14150-5358. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Beatty, Chad Laurent can be contacted via phone (716) 694-1134.

Contact Information

Primary practice address
555 Delaware St Tonawanda NY 14150-5358
Phone: (716) 694-1134
Fax: (716) 694-0665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 050022 New York

Profile Details

NPI number 1720182124
LBN Legal business name Beatty, Chad Laurent
Credentials DMD. MD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 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 1720182124 NPPES
New York Other 000527196004 BC/BS COMMUNITY BLUE
New York Other 00026001505 BC/BS COMMUNITY BLUE
New York MEDICAID 02364661 BC/BS COMMUNITY BLUE

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