Beaton, Thomas Patrick
Beaton, Thomas Patrick is an sole proprietor health care provider with primary practice located at 750 N Syringa St Ste 203 , Post Falls ID 83854-5275. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Beaton, Thomas Patrick can be contacted via phone (208) 415-0800.Contact Information
Primary practice address
750 N Syringa St Ste 203
Post Falls ID 83854-5275
Phone: (208) 415-0800
Fax: (208) 415-0174
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | M5057 | Idaho |
Other Service Providers / Specialist | 174400000X | 29197 | Minnesota |
Other Service Providers / Specialist | 174400000X | MD025690-E | Pennsylvania |
Other Service Providers / Specialist | 174400000X | 5147 | Montana |
Other Service Providers / Specialist | 174400000X | MD00022835 | Washington |
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | M5057 | Idaho |
Profile Details
NPI number | 1285719708 |
---|---|
LBN Legal business name | Beaton, Thomas Patrick |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 25th, 2006 |
Last updated | Oct 9th, 2020 - about 5 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 | 1285719708 | NPPES |
Washington | Other | 13575 | DEPT. OF L&I |
Washington | Other | 5057-5 | DEPT. OF L&I |
Washington | MEDICAID | 000501700 | DEPT. OF L&I |
Washington | MEDICAID | 0057120 | DEPT. OF L&I |
Washington | Other | 22092 | DEPT. OF L&I |
Washington | MEDICAID | 11014026 | DEPT. OF L&I |
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