Beardsley, Richard L
Beardsley, Richard L is an individual health care provider with primary practice located at 2030 Churchman Ave , Beech Grove IN 46107-1044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Beardsley, Richard L can be contacted via phone (317) 786-9285.Contact Information
Primary practice address
2030 Churchman Ave
Beech Grove IN 46107-1044
Phone: (317) 786-9285
Fax: (317) 781-2793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01029408A | Indiana |
Profile Details
| NPI number | 1295717270 |
|---|---|
| LBN Legal business name | Beardsley, Richard L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Mar 18th, 2016 - about 9 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 | 1295717270 | NPPES |
| Indiana | MEDICAID | 100325580A |
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