Beecroft, Carl Jonathan

Beecroft, Carl Jonathan is an individual health care provider with primary practice located at 15810 S 45Th St , Phoenix AZ 85048-7697. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Beecroft, Carl Jonathan can be contacted via phone (480) 893-1090.

Contact Information

Primary practice address
15810 S 45Th St Phoenix AZ 85048-7697
Phone: (480) 893-1090
Fax: (480) 598-1458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 626 Arizona

Profile Details

NPI number 1578564472
LBN Legal business name Beecroft, Carl Jonathan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jul 14th, 2011 - about 15 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 1578564472 NPPES
Arizona Other 0653000001 DMERC
Arizona Other P00423174 DMERC

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