Beach, Brian J

Beach, Brian J is an individual health care provider with primary practice located at 106 S Main St , Dry Ridge KY 41035-9406. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Beach, Brian J can be contacted via phone (859) 824-1444.

Contact Information

Primary practice address
106 S Main St Dry Ridge KY 41035-9406
Phone: (859) 824-1444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 00254 Kentucky

Profile Details

NPI number 1396741096
LBN Legal business name Beach, Brian J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jul 30th, 2008 - about 17 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 1396741096 NPPES
Kentucky MEDICAID 80002546

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