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

Primary practice address
208 Corwin Ln Kokomo IN 46902-6612
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184894719 NPPES
Indiana MEDICAID 200946320
Indiana Other P01456983
Indiana Other P00786928
Indiana Other P00804358

Popular Providers