Beach, January Lee

Beach, January Lee is an individual health care provider with primary practice located at 1902 Tamarack Rd , Newark OH 43055-2303. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Beach, January Lee can be contacted via phone (220) 564-7975.

Contact Information

Primary practice address
1902 Tamarack Rd Newark OH 43055-2303
Phone: (220) 564-7975
Fax: (220) 564-7976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN.CNP.023351 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN.CNP.023351 Ohio

Profile Details

NPI number 1265910384
LBN Legal business name Beach, January Lee
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2018
Last updated Jan 23rd, 2024 - about 2 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 1265910384 NPPES
Ohio MEDICAID 0307823

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