Beauchamp, Bruce W
Beauchamp, Bruce W is an individual health care provider with primary practice located at 4021 S 700 E Suite 220, Salt Lake City UT 84107-2192. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Beauchamp, Bruce W can be contacted via phone (800) 211-4971.Contact Information
Primary practice address
4021 S 700 E Suite 220
Salt Lake City UT 84107-2192
Phone: (800) 211-4971
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 16476 | Oregon |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 1260 | Washington |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 10096 | North Dakota |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 5697 | Alaska |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 3891 | Arizona |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 0.198 | Idaho |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 1499 | West Virginia |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | DO 116462 | Missouri |
Profile Details
| NPI number | 1609881036 |
|---|---|
| LBN Legal business name | Beauchamp, Bruce W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | May 18th, 2010 - about 15 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 | 1609881036 | NPPES |
| North Dakota | Other | 28761 | ND BLUE CROSS BLUE SHIELD |
| North Dakota | Other | 1417978057 | ND BLUE CROSS BLUE SHIELD |
| North Dakota | Other | A06171050226 | ND BLUE CROSS BLUE SHIELD |
| North Dakota | MEDICAID | 14198 | ND BLUE CROSS BLUE SHIELD |
| North Dakota | Other | 20-03471 | ND BLUE CROSS BLUE SHIELD |
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