Beach, Theo Joseph
Beach, Theo Joseph is an individual health care provider with primary practice located at 131 E Market St , Smithfield NC 27577-3915. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Beach, Theo Joseph can be contacted via phone (919) 934-5441.Contact Information
Primary practice address
131 E Market St
Smithfield NC 27577-3915
Phone: (919) 934-5441
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 0010-09318 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-09318 | North Carolina |
Profile Details
NPI number | 1710533286 |
---|---|
LBN Legal business name | Beach, Theo Joseph |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 12th, 2019 |
Last updated | Aug 1st, 2022 - 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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