Beal, Matthew William
Beal, Matthew William is an sole proprietor health care provider with primary practice located at 5150 E Glenn St , Tucson AZ 85712-1337. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Beal, Matthew William can be contacted via phone (520) 795-7729.Contact Information
Primary practice address
5150 E Glenn St
Tucson AZ 85712-1337
Phone: (520) 795-7729
Fax: (520) 795-4177
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 47563 | Arizona |
Profile Details
NPI number | 1881913846 |
---|---|
LBN Legal business name | Beal, Matthew William |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 28th, 2010 |
Last updated | Sep 17th, 2020 - about 4 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 | 1881913846 | NPPES |
Arizona | MEDICAID | 838508 |
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