Beall, Michael Edgar

Beall, Michael Edgar is an individual health care provider with primary practice located at 8503 Arlington Blvd #310, Fairfax VA 22031-4628. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Beall, Michael Edgar can be contacted via phone (703) 208-4200.

Contact Information

Primary practice address
8503 Arlington Blvd #310 Fairfax VA 22031-4628
Phone: (703) 208-4200
Fax: (703) 876-1799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 0101025095 Virginia

Profile Details

NPI number 1467444505
LBN Legal business name Beall, Michael Edgar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Feb 21st, 2008 - about 16 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 1467444505 NPPES
Other 1224139 AETNA HMO
Other 4091325 AETNA HMO
Other 188959 AETNA HMO
Other 192391 AETNA HMO
Other 502646 AETNA HMO
Other N1900013 AETNA HMO

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