Beam, Vincent Lee

Beam, Vincent Lee is an individual health care provider with primary practice located at 1480 W 8Th St , West Plains MO 65775-2010. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Beam, Vincent Lee can be contacted via phone (417) 256-5669.

Contact Information

Primary practice address
1480 W 8Th St West Plains MO 65775-2010
Phone: (417) 256-5669
Fax: (417) 256-5699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 107041 Missouri

Profile Details

NPI number 1497713127
LBN Legal business name Beam, Vincent Lee
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1497713127 NPPES
Missouri Other 107041 ATHLETIC TRAINER

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