Beaty, Clisto D

Beaty, Clisto D is an individual health care provider with primary practice located at 1000 E 100 N , Payson UT 84651-1600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Beaty, Clisto D can be contacted via phone (800) 748-4868.

Contact Information

Primary practice address
1000 E 100 N Payson UT 84651-1600
Phone: (800) 748-4868
Fax: (801) 733-5872
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 169252-1205 Utah
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X M-4600 Idaho

Profile Details

NPI number 1891806162
LBN Legal business name Beaty, Clisto D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 18 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 1891806162 NPPES
Utah Other 51728 HEALTHY U
Utah Other 107006158102 HEALTHY U
Utah Other 7820 HEALTHY U
Utah Other 36319 HEALTHY U
Utah Other QM0000076595 HEALTHY U
Utah Other 870525882BE1 HEALTHY U
Utah Other PR00524 HEALTHY U

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