Beam, Teresa D

Beam, Teresa D is an individual health care provider with primary practice located at 14300 E 138Th Street, Bldg A , Fishers IN 46037-0087. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Beam, Teresa D can be contacted via phone (317) 813-1660.

Contact Information

Primary practice address
14300 E 138Th Street, Bldg A Fishers IN 46037-0087
Phone: (317) 813-1660
Fax: (317) 813-1667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 01046057A Indiana

Profile Details

NPI number 1972517720
LBN Legal business name Beam, Teresa D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Mar 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972517720 NPPES
Indiana Other 200288740 MEDICAID GROUP NUMBER
Indiana Other 340014541 MEDICAID GROUP NUMBER
Indiana Other 100194370 MEDICAID GROUP NUMBER
Indiana Other 1669552295 MEDICAID GROUP NUMBER
Indiana Other 1487680518 MEDICAID GROUP NUMBER
Indiana Other 000000091694 MEDICAID GROUP NUMBER
Indiana Other 340014542 MEDICAID GROUP NUMBER
Indiana MEDICAID 200123070 MEDICAID GROUP NUMBER
Indiana Other 340014540 MEDICAID GROUP NUMBER
Indiana Other 1205916830 MEDICAID GROUP NUMBER

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