Beare, David J

Beare, David J is an individual health care provider with primary practice located at 1500 Dodson Ave Ste 240, Fort Smith AR 72901-5182. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Beare, David J can be contacted via phone (479) 709-7455.

Contact Information

Primary practice address
1500 Dodson Ave Ste 240 Fort Smith AR 72901-5182
Phone: (479) 709-7455
Fax: (479) 709-7456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 021P Arkansas

Profile Details

NPI number 1609863562
LBN Legal business name Beare, David J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Aug 13th, 2010 - about 15 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 1609863562 NPPES
Oklahoma MEDICAID 100838330A
Oklahoma MEDICAID 145577019

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