Bealke, Judith M
Bealke, Judith M is an sole proprietor health care provider with primary practice located at 702 Barnhill Dr Rm. 4300, Indianapolis IN 46202-5128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Bealke, Judith M can be contacted via phone (317) 274-8162.Contact Information
Primary practice address
702 Barnhill Dr Rm. 4300
Indianapolis IN 46202-5128
Phone: (317) 274-8162
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 01042937 | Indiana |
Profile Details
| NPI number | 1023061967 |
|---|---|
| LBN Legal business name | Bealke, Judith M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Aug 12th, 2007 - 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 | 1023061967 | NPPES |
| Indiana | MEDICAID | 100389290 |
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