Beasley, Thomas Bass
Beasley, Thomas Bass is an individual health care provider with primary practice located at 5480 Goodman Rd Suite 2, Olive Branch MS 38654-7902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Beasley, Thomas Bass can be contacted via phone (662) 893-9815.Contact Information
Primary practice address
5480 Goodman Rd Suite 2
Olive Branch MS 38654-7902
Phone: (662) 893-9815
Fax: (662) 893-9888
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 23320 | Mississippi |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 52023 | Tennessee |
Profile Details
NPI number | 1538393905 |
---|---|
LBN Legal business name | Beasley, Thomas Bass |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 13th, 2009 |
Last updated | Jun 11th, 2015 - about 10 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 | 1538393905 | NPPES |
Mississippi | MEDICAID | 00276815 | |
Mississippi | Other | P01440718 | |
Mississippi | MEDICAID | Q008144 | |
Mississippi | Other | 6020201 |
Popular Providers
-
Eells, David A
320 Jones Ave , Oak Hill WV 25901-2909 -
White, Patrick W.
5700 Monroe St Unit 101 , Sylvania OH 43560-2779 -
Thuan, Robert
113 Highway 70 E , Dickson TN 37055-2075 -
Deshazo, Catherine Petzinger
5480 Goodman Rd , Olive Branch MS 38654-7902 -
Byrnett, Jeffrey William
1234 Huffman Mill Road , Burlington NC 27215-8700 -
Rhyne, Craig Desmond
3509 22Nd St , Lubbock TX 79410-1307 -
Thames, Elbert Austin
1700 Cogdell Blvd , Snyder TX 79549-6162 -
Cross, Tracy Glenn
250 Burkesville Rd , Albany KY 42602-1604