Beckham, Cleo

Beckham, Cleo is an individual health care provider with primary practice located at 201 Ridge St Suite 214, Council Bluffs IA 51503-4643. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Beckham, Cleo can be contacted via phone (712) 396-4320.

Contact Information

Primary practice address
201 Ridge St Suite 214 Council Bluffs IA 51503-4643
Phone: (712) 396-4320
Fax: (712) 396-4328
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001350 Iowa

Profile Details

NPI number 1245223213
LBN Legal business name Beckham, Cleo
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated May 1st, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245223213 NPPES
Iowa MEDICAID 1245223213
Iowa MEDICAID 10026480113

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