Beaty, Craig E

Beaty, Craig E is an individual health care provider with primary practice located at 11511 Ne 10Th St , Bellevue WA 98004-8578. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Beaty, Craig E can be contacted via phone (425) 502-3589.

Contact Information

Primary practice address
11511 Ne 10Th St Bellevue WA 98004-8578
Phone: (425) 502-3589
Fax: (425) 502-3589
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28151936A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP60287495 Washington

Profile Details

NPI number 1871523704
LBN Legal business name Beaty, Craig E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Mar 31st, 2021 - about 4 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 1871523704 NPPES
Indiana MEDICAID 200382340
Indiana Other 000000531134

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