Beasley, John Johnson

Beasley, John Johnson is an sole proprietor health care provider with primary practice located at 132 Arbor Crest Dr , Mayfield KY 42066-1233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Beasley, John Johnson can be contacted via phone (270) 247-8710.

Contact Information

Primary practice address
132 Arbor Crest Dr Mayfield KY 42066-1233
Phone: (270) 247-8710
Fax: (270) 247-9564
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25079 Kentucky

Profile Details

NPI number 1740265156
LBN Legal business name Beasley, John Johnson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2005
Last updated Oct 26th, 2011 - about 13 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 1740265156 NPPES
Kentucky Other 000000059857 ANTHEM BCBS
Kentucky Other 300011148 ANTHEM BCBS
Kentucky MEDICAID 64250798 ANTHEM BCBS

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