Beatty, Rachael M
Beatty, Rachael M is an individual health care provider with primary practice located at 1200 W Kent Ave Ste 101 , Missoula MT 59801-6609. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Beatty, Rachael M can be contacted via phone (406) 272-0453.Contact Information
Primary practice address
1200 W Kent Ave Ste 101
Missoula MT 59801-6609
Phone: (406) 272-0453
Fax: (406) 221-3754
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046010206 | Illinois |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 046010206 | Illinois |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 816 | Montana |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 816 | Montana |
Profile Details
| NPI number | 1710115886 |
|---|---|
| LBN Legal business name | Beatty, Rachael M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2009 |
| Last updated | Jun 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710115886 | NPPES |
| Illinois | MEDICAID | 046010206 |
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