Beebe, Laurie B

Beebe, Laurie B is an individual health care provider with primary practice located at 2100 Madison Ave , Granite City IL 62040-4701. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Beebe, Laurie B can be contacted via phone (618) 798-3492.

Contact Information

Primary practice address
2100 Madison Ave Granite City IL 62040-4701
Phone: (618) 798-3492
Fax: (618) 798-3871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 164003260 Illinois

Profile Details

NPI number 1295954980
LBN Legal business name Beebe, Laurie B
Credentials MS, RD, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jul 8th, 2007 - about 19 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 1295954980 NPPES
Illinois Other 164003260 ILLINOIS LICENSE #

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