Beastrom, Nicholas

Beastrom, Nicholas is an individual health care provider with primary practice located at 6780 Mayfield Road , Mayfiled Heights OH 44124-2212. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Beastrom, Nicholas can be contacted via phone (440) 312-4500.

Contact Information

Primary practice address
6780 Mayfield Road Mayfiled Heights OH 44124-2212
Phone: (440) 312-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 67.000167 Ohio

Profile Details

NPI number 1114245313
LBN Legal business name Beastrom, Nicholas
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2010
Last updated Oct 6th, 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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