Beatty, Jill M
Beatty, Jill M is an individual health care provider with primary practice located at 504 Medical Center Blvd , Conroe TX 77304-2808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Beatty, Jill M can be contacted via phone (409) 539-1111.Contact Information
Primary practice address
504 Medical Center Blvd
Conroe TX 77304-2808
Phone: (409) 539-1111
Fax: (409) 788-8044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | L6780 | Texas |
Profile Details
| NPI number | 1932184884 |
|---|---|
| LBN Legal business name | Beatty, Jill M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Dec 7th, 2007 - about 17 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 | 1932184884 | NPPES |
| Texas | MEDICAID | 161571801 | |
| Texas | Other | 8F9645 |
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