Beasley, Robert Alan

Beasley, Robert Alan is an individual health care provider with primary practice located at 1940 North Jackson Street Suite 150, Tullahoma TN 37388. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Beasley, Robert Alan can be contacted via phone (931) 563-8003.

Contact Information

Primary practice address
1940 North Jackson Street Suite 150 Tullahoma TN 37388
Phone: (931) 563-8003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD011102 Tennessee

Profile Details

NPI number 1144299587
LBN Legal business name Beasley, Robert Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jun 21st, 2010 - about 14 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 1144299587 NPPES
Tennessee MEDICAID 3197792

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