Beaton, William J

Beaton, William J is an sole proprietor health care provider with primary practice located at 6707 38Th Ave N , St Petersburg FL 33710-1536. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Beaton, William J can be contacted via phone (727) 896-4615.

Contact Information

Primary practice address
6707 38Th Ave N St Petersburg FL 33710-1536
Fax: (727) 256-3855
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO-0000312 Florida

Profile Details

NPI number 1972507382
LBN Legal business name Beaton, William J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2005
Last updated Aug 26th, 2020 - about 4 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 1972507382 NPPES
Florida MEDICAID 0295213-00

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