Beatty, Paul Robin

Beatty, Paul Robin is an individual health care provider with primary practice located at 350 South Oak Avenue , Oakdale CA 95361-3519. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / Emergency Medicine. Emergency Medical Service Providers / Personal Emergency Response Attendant is his primary health care specialty. Beatty, Paul Robin can be contacted via phone (209) 847-3011.

Contact Information

Primary practice address
350 South Oak Avenue Oakdale CA 95361-3519
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X A35987 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A35987 California

Profile Details

NPI number 1932110160
LBN Legal business name Beatty, Paul Robin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jul 7th, 2008 - about 16 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 1932110160 NPPES
California MEDICAID 00A359870

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