Beamesderfer, Jacob Samuel

Beamesderfer, Jacob Samuel is an individual health care provider with primary practice located at 3980 W Florida Ave Ste 102 , Hemet CA 92545-5258. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Beamesderfer, Jacob Samuel can be contacted via phone (951) 925-9948.

Contact Information

Primary practice address
3980 W Florida Ave Ste 102 Hemet CA 92545-5258
Phone: (951) 925-9948
Fax: (951) 925-8333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA7424 California

Profile Details

NPI number 1548414378
LBN Legal business name Beamesderfer, Jacob Samuel
Credentials HIS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2008
Last updated Mar 12th, 2019 - about 6 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 1548414378 NPPES
California MEDICAID 27-3716562

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