Beauchamp, David A
Beauchamp, David A is an individual health care provider with primary practice located at 2669 Scenic Dr , Alamogordo NM 88310-8700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Beauchamp, David A can be contacted via phone (505) 439-6100.Contact Information
Primary practice address
2669 Scenic Dr
Alamogordo NM 88310-8700
Phone: (505) 439-6100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 95-13 | New Mexico |
Profile Details
| NPI number | 1205822897 |
|---|---|
| LBN Legal business name | Beauchamp, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Jan 28th, 2008 - about 17 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 | 1205822897 | NPPES |
| New Mexico | Other | NM009475 | BCBS NM INDIVIDUAL |
| New Mexico | Other | P00227776 | BCBS NM INDIVIDUAL |
| New Mexico | MEDICAID | 54852102 | BCBS NM INDIVIDUAL |
| New Mexico | MEDICAID | H5041 | BCBS NM INDIVIDUAL |
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