Beach, Katherine Gleason

Beach, Katherine Gleason is an individual health care provider with primary practice located at 100 Brickhill Ave , South Portland ME 04106-1999. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Beach, Katherine Gleason can be contacted via phone (207) 761-1502.

Contact Information

Primary practice address
100 Brickhill Ave South Portland ME 04106-1999
Phone: (207) 761-1502
Fax: (207) 774-2015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X CNM82029 Maine

Profile Details

NPI number 1629068960
LBN Legal business name Beach, Katherine Gleason
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Feb 17th, 2012 - about 13 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 1629068960 NPPES
Maine Other 040608 ANTHEM
Maine Other 420000116 ANTHEM
Maine MEDICAID 274220099 ANTHEM
Maine MEDICAID 30347515 ANTHEM

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