Beatty, Geoffery

Beatty, Geoffery is an sole proprietor health care provider with primary practice located at 2400 N Rockton Ave , Rockford IL 61103-3655. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Nursing Service Providers / Case Management. Nursing Service Providers / Emergency is his primary health care specialty. Beatty, Geoffery can be contacted via phone (815) 971-5000.

Contact Information

Primary practice address
2400 N Rockton Ave Rockford IL 61103-3655
Phone: (815) 971-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 041-323569 Illinois
Nursing Service Providers / Case Management 163WC0400X 041323569 Illinois

Profile Details

NPI number 1184810970
LBN Legal business name Beatty, Geoffery
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2007
Last updated Jun 27th, 2014 - about 10 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 1184810970 NPPES
Illinois Other 041-323569 IDPR

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