Bean, Gary Owen
Bean, Gary Owen is an individual health care provider with primary practice located at 4414 Lake Boone Trail Suite 502, Raleigh NC 27607-7514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bean, Gary Owen can be contacted via phone (919) 875-0539.Contact Information
Primary practice address
4414 Lake Boone Trail Suite 502
Raleigh NC 27607-7514
Phone: (919) 875-0539
Fax: (919) 875-1051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 23998 | North Carolina |
Profile Details
| NPI number | 1760452312 |
|---|---|
| LBN Legal business name | Bean, Gary Owen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1760452312 | NPPES |
| North Carolina | MEDICAID | 8914130 |
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