Beacham, Bruce Edmund
Beacham, Bruce Edmund is an sole proprietor health care provider with primary practice located at 1205 York Rd Ste 20, Lutherville MD 21093-6210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Beacham, Bruce Edmund can be contacted via phone (410) 583-2328.Contact Information
Primary practice address
1205 York Rd Ste 20
Lutherville MD 21093-6210
Phone: (410) 583-2328
Fax: (410) 583-2479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | D0019901 | Maryland |
Profile Details
| NPI number | 1386625861 |
|---|---|
| LBN Legal business name | Beacham, Bruce Edmund |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Sep 9th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386625861 | NPPES |
| Maryland | Other | 3204645 | AETNA |
| Maryland | Other | 134242486 | AETNA |
| Maryland | Other | 4067476 | AETNA |
| Maryland | Other | 010246 | AETNA |
| Maryland | Other | 1720260110 | AETNA |
| Maryland | Other | P00012132 | AETNA |
| Maryland | Other | KEI3BR | AETNA |
| Maryland | Other | G847 | AETNA |
| Maryland | Other | G847 | AETNA |
| Maryland | Other | 37044 | AETNA |
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