Beamer, Russell Larry
Beamer, Russell Larry is an individual health care provider with primary practice located at 818 N Emporia St Suite 200, Wichita KS 67214-3729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Beamer, Russell Larry can be contacted via phone (316) 263-0296.Contact Information
Primary practice address
818 N Emporia St Suite 200
Wichita KS 67214-3729
Phone: (316) 263-0296
Fax: (316) 263-9523
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0418698 | Kansas |
Profile Details
| NPI number | 1437156338 |
|---|---|
| LBN Legal business name | Beamer, Russell Larry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jul 30th, 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 | 1437156338 | NPPES |
| Kansas | MEDICAID | 100167490A |
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