Beacher, Daniel Robert

Beacher, Daniel Robert is an individual health care provider with primary practice located at 2575 E Evergreen Drive , Appleton WI 54913-8904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Beacher, Daniel Robert can be contacted via phone (920) 969-5353.

Contact Information

Primary practice address
2575 E Evergreen Drive Appleton WI 54913-8904
Phone: (920) 969-5353
Fax: (414) 337-7201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 64558-20 Wisconsin

Profile Details

NPI number 1942628466
LBN Legal business name Beacher, Daniel Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2014
Last updated Mar 1st, 2024 - about last year

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 1942628466 NPPES
Wisconsin MEDICAID 1942628466

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