Beckum, Michael T

Beckum, Michael T is an individual health care provider with primary practice located at 840 N Oak Ave , Ruleville MS 38771-3227. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Beckum, Michael T can be contacted via phone (662) 756-2711.

Contact Information

Primary practice address
840 N Oak Ave Ruleville MS 38771-3227
Fax: (662) 756-4114
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R798671 Mississippi

Profile Details

NPI number 1225242100
LBN Legal business name Beckum, Michael T
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Jan 29th, 2015 - about 11 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 1225242100 NPPES
Mississippi MEDICAID 00123578

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