Beatty, Nicholas Robert

Beatty, Nicholas Robert is an sole proprietor health care provider with primary practice located at 22182 Barton Rd , Grand Terrace CA 92313-5033. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Beatty, Nicholas Robert can be contacted via phone (909) 422-0422.

Contact Information

Primary practice address
22182 Barton Rd Grand Terrace CA 92313-5033
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA14337 California

Profile Details

NPI number 1295927747
LBN Legal business name Beatty, Nicholas Robert
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2007
Last updated Aug 17th, 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.

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