Beasley, Michael Warren

Beasley, Michael Warren is an individual health care provider with primary practice located at 611 Court St , West Branch MI 48661-9390. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Beasley, Michael Warren can be contacted via phone (989) 345-7000.

Contact Information

Primary practice address
611 Court St West Branch MI 48661-9390
Phone: (989) 345-7000
Fax: (989) 345-7479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MB047056 Michigan

Profile Details

NPI number 1205879871
LBN Legal business name Beasley, Michael Warren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Oct 8th, 2009 - about 16 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 1205879871 NPPES
Michigan MEDICAID 1205879871
Michigan Other 1205879871
Michigan MEDICAID 4069094
Michigan MEDICAID 4329021

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