Beagley, Justin
Beagley, Justin is an sole proprietor health care provider with primary practice located at 421 Walnut St. , La Jara CO 81140. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Beagley, Justin can be contacted via phone (719) 274-8948.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 2024422 | Colorado |
Profile Details
| NPI number | 1497349658 |
|---|---|
| LBN Legal business name | Beagley, Justin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2021 |
| Last updated | Feb 26th, 2021 - about 4 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 | 1497349658 | NPPES |
| Colorado | Other | 2024422 | LICENSURE |
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