Beach, Dean A.

Beach, Dean A. is an individual health care provider with primary practice located at 100 Northcrest Dr , Springfield TN 37172-3927. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Beach, Dean A. can be contacted via phone (615) 384-2411.

Contact Information

Primary practice address
100 Northcrest Dr Springfield TN 37172-3927
Phone: (615) 384-2411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA103 Tennessee

Profile Details

NPI number 1295770311
LBN Legal business name Beach, Dean A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Nov 12th, 2007 - 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 1295770311 NPPES
Tennessee Other 4083270 BLUECROSS
Tennessee MEDICAID 3668614 BLUECROSS
Tennessee Other P00285985 BLUECROSS

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