Beatty, David R

Beatty, David R is an individual health care provider with primary practice located at 1464 Jefferson St N , Lewisburg WV 24901-1380. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as his primary health care specialty. Beatty, David R can be contacted via phone (304) 645-3220.

Contact Information

Primary practice address
1464 Jefferson St N Lewisburg WV 24901-1380
Fax: (304) 645-4103
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 1577 West Virginia

Profile Details

NPI number 1568434710
LBN Legal business name Beatty, David R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Apr 1st, 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 1568434710 NPPES
West Virginia MEDICAID 0047502000

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