Beabeau, Daryl P

Beabeau, Daryl P is an individual health care provider with primary practice located at 5322 W Northern Ave Southwest Diagnostic Imaging Ltd, Glendale AZ 85301-1405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Beabeau, Daryl P can be contacted via phone (480) 425-5063.

Contact Information

Primary practice address
5322 W Northern Ave Southwest Diagnostic Imaging Ltd Glendale AZ 85301-1405
Phone: (480) 425-5063
Fax: (623) 915-6924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 12685 Arizona

Profile Details

NPI number 1689663643
LBN Legal business name Beabeau, Daryl P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jun 16th, 2014 - about 10 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 1689663643 NPPES
Arizona MEDICAID 210500
Arizona Other 30WCFH501

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