Beauchamp, Kermen D.
Beauchamp, Kermen D. is an sole proprietor health care provider with primary practice located at 3521 Highway 190 Suite R, Eunice LA 70535-5135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Beauchamp, Kermen D. can be contacted via phone (337) 457-2301.Contact Information
Primary practice address
3521 Highway 190 Suite R
Eunice LA 70535-5135
Phone: (337) 457-2301
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 10106R | Louisiana |
Profile Details
| NPI number | 1619911310 |
|---|---|
| LBN Legal business name | Beauchamp, Kermen D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Oct 27th, 2010 - about 16 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 | 1619911310 | NPPES |
| Louisiana | MEDICAID | 1976440 |
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