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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962595199 NPPES
Michigan MEDICAID 2100239
Michigan Other 0415670

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