Beeck, Diane S

Beeck, Diane S is an sole proprietor health care provider with primary practice located at Froedtert & Mcw 2180 S. Main St., West Bend WI 53095-5754. 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. Beeck, Diane S can be contacted via phone (262) 532-3127.

Contact Information

Primary practice address
Froedtert & Mcw 2180 S. Main St. West Bend WI 53095-5754
Phone: (262) 532-3127
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 735-023 Wisconsin

Profile Details

NPI number 1841277530
LBN Legal business name Beeck, Diane S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 23rd, 2005
Last updated Nov 18th, 2021 - about 5 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 1841277530 NPPES
Wisconsin MEDICAID 42950200
Wisconsin Other 000

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