Beattie, James Von

Beattie, James Von is an individual health care provider with primary practice located at 400 Medical Plz Suite 100, Lake St Louis MO 63367-1490. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Beattie, James Von can be contacted via phone (636) 639-8600.

Contact Information

Primary practice address
400 Medical Plz Suite 100 Lake St Louis MO 63367-1490
Phone: (636) 639-8600
Fax: (636) 639-8676
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 2000158289 Missouri

Profile Details

NPI number 1508829177
LBN Legal business name Beattie, James Von
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Nov 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508829177 NPPES
Other P00050149 RR MEDICARE
Other 189526 RR MEDICARE
Other 647447 RR MEDICARE
Other 180221 RR MEDICARE
Other 3600531 RR MEDICARE
MEDICAID 209118108 RR MEDICARE
Other 7833546 RR MEDICARE

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