Beahrs, John Randolf

Beahrs, John Randolf is an individual health care provider with primary practice located at 6025 Lake Rd Suite 200, Woodbury MN 55125-1712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Beahrs, John Randolf can be contacted via phone (651) 999-6909.

Contact Information

Primary practice address
6025 Lake Rd Suite 200 Woodbury MN 55125-1712
Phone: (651) 999-6909
Fax: (651) 999-6830
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 23471 Minnesota

Profile Details

NPI number 1992792113
LBN Legal business name Beahrs, John Randolf
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Sep 10th, 2013 - about 11 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 1992792113 NPPES
Minnesota Other 340008162 RR MEDICARE
Minnesota MEDICAID 547803100 RR MEDICARE

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