Bean, Karl Sheridan

Bean, Karl Sheridan is an individual health care provider with primary practice located at 54 N Country Rd Suite 1, Miller Place NY 11764-1409. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Bean, Karl Sheridan can be contacted via phone (631) 928-6566.

Contact Information

Primary practice address
54 N Country Rd Suite 1 Miller Place NY 11764-1409
Phone: (631) 928-6566
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 027396 New York

Profile Details

NPI number 1215009337
LBN Legal business name Bean, Karl Sheridan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 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 1215009337 NPPES
New York MEDICAID 00621590

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