Beatty, Lane Thomas

Beatty, Lane Thomas is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Beatty, Lane Thomas can be contacted via phone (207) 662-4618.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102-3134
Phone: (207) 662-4618
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD22897 Maine
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11344 New Hampshire

Profile Details

NPI number 1467533166
LBN Legal business name Beatty, Lane Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Dec 19th, 2023 - about 2 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 1467533166 NPPES
New Hampshire Other 1966421 CIGNA
New Hampshire MEDICAID 317530099 CIGNA
New Hampshire Other 5375057 CIGNA
New Hampshire Other 2030699 CIGNA
New Hampshire MEDICAID 30201572 CIGNA
New Hampshire Other 7775483 CIGNA
New Hampshire Other 781771 CIGNA
New Hampshire Other AA21070 CIGNA
New Hampshire Other 4146689 CIGNA
New Hampshire Other P00170892 CIGNA

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