Beardmore, Jeffrey R

Beardmore, Jeffrey R is an individual health care provider with primary practice located at 2600 Ferry St , Lafayette IN 47904-3055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Beardmore, Jeffrey R can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Ferry St Lafayette IN 47904-3055
Phone: (765) 448-8000
Fax: (765) 448-8335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01036498A Indiana

Profile Details

NPI number 1356310494
LBN Legal business name Beardmore, Jeffrey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 9th, 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 1356310494 NPPES
Indiana Other 000000182104 ANTHEM PROVIDER NUMBER
Indiana Other 9062912 ANTHEM PROVIDER NUMBER
Indiana Other 10824762 ANTHEM PROVIDER NUMBER

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