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
Phone: (573) 445-0725
Fax: (573) 445-1027
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417954660 | NPPES |
| Missouri | MEDICAID | 203349915 |
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