Beamer, Wilson C.

Beamer, Wilson C. is an sole proprietor health care provider with primary practice located at 1027 Altamont Rd , Greenville SC 29609-6203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Beamer, Wilson C. can be contacted via phone (865) 705-3526.

Contact Information

Primary practice address
1027 Altamont Rd Greenville SC 29609-6203
Phone: (865) 705-3526
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 36290 South Carolina

Profile Details

NPI number 1821093170
LBN Legal business name Beamer, Wilson C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2005
Last updated Jun 5th, 2024 - about 5 months 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 1821093170 NPPES
Tennessee Other 100010198 PHP TENNCARE
Tennessee Other 2002578 PHP TENNCARE
Tennessee Other 2002578 PHP TENNCARE
Tennessee Other 050011295 PHP TENNCARE
Tennessee MEDICAID 3081811 PHP TENNCARE

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