Beall, Douglas P
Beall, Douglas P is an individual health care provider with primary practice located at 1700 S State St , Edmond OK 73013-3633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Beall, Douglas P can be contacted via phone (405) 341-6410.Contact Information
Primary practice address
1700 S State St
Edmond OK 73013-3633
Phone: (405) 341-6410
Fax: (405) 348-0423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 19054 | Oklahoma |
Profile Details
| NPI number | 1992757181 |
|---|---|
| LBN Legal business name | Beall, Douglas P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Dec 13th, 2021 - about 3 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 | 1992757181 | NPPES |
| Oklahoma | MEDICAID | 200005010A |
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