Beatty, Eddie B.

Beatty, Eddie B. is an individual health care provider with primary practice located at 240 Parsons Ave , Columbus OH 43215-5331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Beatty, Eddie B. can be contacted via phone (614) 645-7948.

Contact Information

Primary practice address
240 Parsons Ave Columbus OH 43215-5331
Phone: (614) 645-7948
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 35-05-6408-B Ohio

Profile Details

NPI number 1679506695
LBN Legal business name Beatty, Eddie B.
Credentials M.D.,M.P.H., SC.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 17th, 2007 - about 18 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 1679506695 NPPES
Ohio Other 316400223035 CARESOURCE CLINIC #
Ohio Other 316400223040 CARESOURCE CLINIC #
Ohio MEDICAID 2439749 CARESOURCE CLINIC #

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