Beahm, Brent W

Beahm, Brent W is an individual health care provider with primary practice located at 1400 E Church St , Santa Maria CA 93454-5906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Beahm, Brent W can be contacted via phone (805) 434-4989.

Contact Information

Primary practice address
1400 E Church St Santa Maria CA 93454-5906
Phone: (805) 434-4989
Fax: (808) 434-0721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A34129 California

Profile Details

NPI number 1548384191
LBN Legal business name Beahm, Brent W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 17 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 1548384191 NPPES
California MEDICAID 00A341290

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