Beauchamp, Jenny Cohan
Beauchamp, Jenny Cohan is an individual health care provider with primary practice located at 1967 Lakeside Pkwy Suite 420, Tucker GA 30084-5867. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Beauchamp, Jenny Cohan can be contacted via phone (770) 414-0055.Contact Information
Primary practice address
1967 Lakeside Pkwy Suite 420
Tucker GA 30084-5867
Phone: (770) 414-0055
Fax: (770) 414-0045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT007659 | Georgia |
Profile Details
| NPI number | 1427112432 |
|---|---|
| LBN Legal business name | Beauchamp, Jenny Cohan |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Sep 27th, 2013 - about 13 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 | 1427112432 | NPPES |
| Georgia | MEDICAID | 918546041B |
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