Beasley, Dorian Leenard
Beasley, Dorian Leenard is an individual health care provider with primary practice located at 208 Corwin Ln , Kokomo IN 46902-6612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Beasley, Dorian Leenard can be contacted via phone (765) 453-8567.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01060867A | Indiana |
Profile Details
| NPI number | 1184894719 |
|---|---|
| LBN Legal business name | Beasley, Dorian Leenard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 11th, 2008 |
| Last updated | Nov 27th, 2023 - about last year |
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 | 1184894719 | NPPES |
| Indiana | MEDICAID | 200946320 | |
| Indiana | Other | P01456983 | |
| Indiana | Other | P00786928 | |
| Indiana | Other | P00804358 |
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