Beal, Mary Eleanor
Beal, Mary Eleanor is an sole proprietor health care provider with primary practice located at 3837 W. Front St Suite H, Traverse City MI 49684. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Beal, Mary Eleanor can be contacted via phone (231) 935-8878.Contact Information
Primary practice address
3837 W. Front St Suite H
Traverse City MI 49684
Phone: (231) 935-8878
Fax: (231) 935-8901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 4301050919 | Michigan |
Profile Details
| NPI number | 1982798583 |
|---|---|
| LBN Legal business name | Beal, Mary Eleanor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Aug 6th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982798583 | NPPES |
| Michigan | Other | 1102810071 | BLUE CROSS/BLUE SHIELD |
| Michigan | MEDICAID | 4980484 | BLUE CROSS/BLUE SHIELD |
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