Beatty, Andrea M.
Beatty, Andrea M. is an sole proprietor health care provider with primary practice located at 16202 Midland Dr , Shawnee KS 66217-9535. She recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as her primary health care specialty. Beatty, Andrea M. can be contacted via phone (913) 962-2010.Contact Information
Primary practice address
16202 Midland Dr
Shawnee KS 66217-9535
Phone: (913) 962-2010
Fax: (913) 962-2013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1601 | Kansas |
Profile Details
| NPI number | 1093908329 |
|---|---|
| LBN Legal business name | Beatty, Andrea M. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2007 |
| Last updated | Dec 13th, 2013 - about 11 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 | 1093908329 | NPPES |
| Kansas | Other | 30585025 | BLUE CROSS BLUE SHIELD MO |
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