Beattie, Jeanne Louise

Beattie, Jeanne Louise is an individual health care provider with primary practice located at 3931 Louisiana Ave S Suite E500, St Louis Park MN 55426-4375. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Beattie, Jeanne Louise can be contacted via phone (952) 993-1327.

Contact Information

Primary practice address
3931 Louisiana Ave S Suite E500 St Louis Park MN 55426-4375
Phone: (952) 993-1327
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 44912 Minnesota

Profile Details

NPI number 1457375008
LBN Legal business name Beattie, Jeanne Louise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 24th, 2016 - about 8 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 1457375008 NPPES
North Dakota MEDICAID 10088
North Dakota MEDICAID 490687000
North Dakota Other 01032246
North Dakota Other 05-81580
North Dakota Other 1690679
North Dakota Other 373S2BE
North Dakota Other A013
North Dakota Other 41-1677590
North Dakota Other 130025532
North Dakota Other HP37144
North Dakota Other 41-1677590

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