Beale, Gladys A.

Beale, Gladys A. is an individual health care provider with primary practice located at 1720 Beacon St , Fort Wayne IN 46805-4749. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Forensic Psychiatry. Allopathic & Osteopathic Physicians / Forensic Psychiatry is her primary health care specialty. Beale, Gladys A. can be contacted via phone (260) 373-8000.

Contact Information

Primary practice address
1720 Beacon St Fort Wayne IN 46805-4749
Phone: (260) 373-8000
Fax: (260) 373-8034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 01052426A Indiana
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 01052426A Indiana

Profile Details

NPI number 1164401063
LBN Legal business name Beale, Gladys A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Oct 11th, 2022 - about 2 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 1164401063 NPPES
Indiana Other 000000543920 ANTHEM
Indiana MEDICAID 2566067 ANTHEM
Indiana MEDICAID 200274420 ANTHEM
Indiana Other 260043528 ANTHEM
Indiana Other P00466953 ANTHEM

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