Beaty, Timothy C.
Beaty, Timothy C. is an individual health care provider with primary practice located at 1315 Jefferson Hwy , New Orleans LA 70121. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Beaty, Timothy C. can be contacted via phone (504) 842-3900.Contact Information
Primary practice address
1315 Jefferson Hwy
New Orleans LA 70121
Phone: (504) 842-3900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 71666 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 310171 | Louisiana |
Profile Details
| NPI number | 1477796258 |
|---|---|
| LBN Legal business name | Beaty, Timothy C. |
| Credentials | M.D., M.SC. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2009 |
| Last updated | Sep 6th, 2018 - about 8 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 | 1477796258 | NPPES |
| Georgia | MEDICAID | 003145693A | |
| Georgia | MEDICAID | 1913642 |
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