Beilstein, Douglas Edward
Beilstein, Douglas Edward is an individual health care provider with primary practice located at 1041 Cricket Ln , Mansfield OH 44906-4105. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Beilstein, Douglas Edward can be contacted via phone (419) 526-4249.Contact Information
Primary practice address
1041 Cricket Ln
Mansfield OH 44906-4105
Phone: (419) 526-4249
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 14266 | Ohio |
Profile Details
| NPI number | 1518004647 |
|---|---|
| LBN Legal business name | Beilstein, Douglas Edward |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518004647 | NPPES |
| Ohio | Other | 34120755326 | CARESOURCE # |
| Ohio | MEDICAID | 0250713 | CARESOURCE # |
| Ohio | Other | 14266 | CARESOURCE # |
| Ohio | Other | 9183637 | CARESOURCE # |
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