Beatty, David A

Beatty, David A is an individual health care provider with primary practice located at 2310 California Road , Elkhart IN 46514-1228. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Beatty, David A can be contacted via phone (574) 264-4163.

Contact Information

Primary practice address
2310 California Road Elkhart IN 46514-1228
Phone: (574) 264-4163
Fax: (574) 262-9650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 01043610A Indiana
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01043610A Indiana

Profile Details

NPI number 1174534895
LBN Legal business name Beatty, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Feb 9th, 2012 - about 13 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 1174534895 NPPES
Indiana MEDICAID 200052420A
Indiana MEDICAID 200052420

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