Beacher, Jon Robert

Beacher, Jon Robert is an individual health care provider with primary practice located at 1121 Nw 64Th Ter Ste A , Gainesville FL 32605-4256. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Beacher, Jon Robert can be contacted via phone (352) 331-5026.

Contact Information

Primary practice address
1121 Nw 64Th Ter Ste A Gainesville FL 32605-4256
Phone: (352) 331-5026
Fax: (352) 332-0318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 065933 Georgia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 065933 Georgia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME118908 Florida

Profile Details

NPI number 1457341778
LBN Legal business name Beacher, Jon Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Oct 6th, 2023 - 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 1457341778 NPPES
Maryland MEDICAID 433201600
Maryland MEDICAID 003112189A

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