Beadner, Howard Alan
Beadner, Howard Alan is an sole proprietor health care provider with primary practice located at 2124 Woodcliff Ave. Se , Grand Rapids MI 49546-5711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Beadner, Howard Alan can be contacted via phone (616) 240-7922.Contact Information
Primary practice address
2124 Woodcliff Ave. Se
Grand Rapids MI 49546-5711
Phone: (616) 240-7922
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 4301035366 | Michigan |
Profile Details
NPI number | 1962595199 |
---|---|
LBN Legal business name | Beadner, Howard Alan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 2nd, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1962595199 | NPPES |
Michigan | MEDICAID | 2100239 | |
Michigan | Other | 0415670 |
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