Beatty, Mary Ellen
Beatty, Mary Ellen is an individual health care provider with primary practice located at 13020 N Telecom Parkway , Temple Terrace FL 33637. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery of the Hand, which is considered as her primary health care specialty. Beatty, Mary Ellen can be contacted via phone (813) 978-9700.Contact Information
Primary practice address
13020 N Telecom Parkway
Temple Terrace FL 33637
Phone: (813) 978-9700
Fax: (813) 558-6124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | ME39434 | Florida |
Profile Details
| NPI number | 1265437180 |
|---|---|
| LBN Legal business name | Beatty, Mary Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | May 14th, 2018 - about 7 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 | 1265437180 | NPPES |
| Florida | Other | 4240438 | AETNA |
| Florida | Other | 1732948 | AETNA |
| Florida | Other | 240001743 | AETNA |
| Florida | Other | 30884 | AETNA |
| Florida | MEDICAID | 042695400 | AETNA |
| Florida | Other | 209671 | AETNA |
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