Beusse, Walter J
Beusse, Walter J is an sole proprietor health care provider with primary practice located at 824 W Bartlett Rd , Bartlett IL 60103-4402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Beusse, Walter J can be contacted via phone (630) 213-3217.Contact Information
Primary practice address
824 W Bartlett Rd
Bartlett IL 60103-4402
Phone: (630) 213-3217
Fax: (630) 213-8140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036083241 | Illinois |
Profile Details
| NPI number | 1083612329 |
|---|---|
| LBN Legal business name | Beusse, Walter J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2005 |
| Last updated | May 18th, 2022 - about 3 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 | 1083612329 | NPPES |
| Illinois | MEDICAID | 036083241 | |
| Illinois | Other | 05623130 |
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