Beatty, Mark Edward
Beatty, Mark Edward is an individual health care provider with primary practice located at 3020 Rucker Ave Ste 306 , Everett WA 98201-3900. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Beatty, Mark Edward can be contacted via phone (425) 339-8799.Contact Information
Primary practice address
3020 Rucker Ave Ste 306
Everett WA 98201-3900
Phone: (425) 339-8799
Fax: (425) 339-5263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | 52107 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 52107 | Georgia |
Profile Details
| NPI number | 1649789595 |
|---|---|
| LBN Legal business name | Beatty, Mark Edward |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2017 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649789595 | NPPES |
| Georgia | Other | 52107 | MEDICAL LICENSE |
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