Beasley, Gary Richard
Beasley, Gary Richard is an individual health care provider with primary practice located at 730 W Market St , Lima OH 45801-4602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Beasley, Gary Richard can be contacted via phone (419) 227-3361.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 34004459B | Ohio |
Profile Details
| NPI number | 1518913334 |
|---|---|
| LBN Legal business name | Beasley, Gary Richard |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | May 16th, 2008 - about 17 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 | 1518913334 | NPPES |
| Ohio | Other | P00072684 | MEDICARE RR |
| Ohio | Other | 000000317852 | MEDICARE RR |
| Ohio | Other | 000000317852 | MEDICARE RR |
| Ohio | MEDICAID | 0680919 | MEDICARE RR |
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