Beaty, Kristie Ann
Beaty, Kristie Ann is an sole proprietor health care provider with primary practice located at 1597 Lehigh St , Allentown PA 18103-3813. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Beaty, Kristie Ann can be contacted via phone (610) 791-4833.Contact Information
Primary practice address
1597 Lehigh St
Allentown PA 18103-3813
Phone: (610) 791-4833
Fax: (610) 791-1633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT016487 | Pennsylvania |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 40QA01111500 | New Jersey |
Profile Details
| NPI number | 1639174089 |
|---|---|
| LBN Legal business name | Beaty, Kristie Ann |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Jan 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639174089 | NPPES |
| Pennsylvania | MEDICAID | 101086272 |
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