Beal, Douglas Wayne

Beal, Douglas Wayne is an sole proprietor health care provider with primary practice located at 2412 Forum Blvd Suite 201, Columbia MO 65203-6364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Beal, Douglas Wayne can be contacted via phone (573) 445-0725.

Contact Information

Primary practice address
2412 Forum Blvd Suite 201 Columbia MO 65203-6364
Fax: (573) 445-1027
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD100429 Missouri

Profile Details

NPI number 1417954660
LBN Legal business name Beal, Douglas Wayne
Credentials M.D., M.S.H.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2005
Last updated Jan 5th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417954660 NPPES
Missouri MEDICAID 203349915

Popular Providers