Beach, Anita L
Beach, Anita L is an individual health care provider with primary practice located at 1111 Baker Ave Glacier Medical Associates, Whitefish MT 59937-2901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Beach, Anita L can be contacted via phone (406) 862-2515.Contact Information
Primary practice address
1111 Baker Ave Glacier Medical Associates
Whitefish MT 59937-2901
Phone: (406) 862-2515
Fax: (406) 862-4229
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | RN024700 | Montana |
Profile Details
NPI number | 1922064401 |
---|---|
LBN Legal business name | Beach, Anita L |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 25th, 2006 |
Last updated | Nov 30th, 2009 - about 16 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 | 1922064401 | NPPES |
Montana | Other | RN024700 | MONTANA STATE LICENSE |
Montana | Other | 500004073 | MONTANA STATE LICENSE |
Montana | Other | 27D0411341 | MONTANA STATE LICENSE |
Montana | MEDICAID | 0432157 | MONTANA STATE LICENSE |
Montana | Other | 1104882232 | MONTANA STATE LICENSE |
Montana | Other | CI2709 | MONTANA STATE LICENSE |
Montana | Other | 000037436 | MONTANA STATE LICENSE |
Montana | Other | 810350909 | MONTANA STATE LICENSE |
Montana | Other | 000008287 | MONTANA STATE LICENSE |
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