Beatty, Theodore

Beatty, Theodore is an individual health care provider with primary practice located at 15855 19 Mile Rd , Clinton Township MI 48038-3504. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Beatty, Theodore can be contacted via phone (586) 263-2300.

Contact Information

Primary practice address
15855 19 Mile Rd Clinton Township MI 48038-3504
Phone: (586) 263-2300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601006977 Michigan

Profile Details

NPI number 1306259262
LBN Legal business name Beatty, Theodore
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2014
Last updated Jun 9th, 2014 - about 11 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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