Beaty, Larry

Beaty, Larry is an individual health care provider with primary practice located at 5950 University Ave Ste 105, West Des Moines IA 50266-8216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Beaty, Larry can be contacted via phone (515) 875-9070.

Contact Information

Primary practice address
5950 University Ave Ste 105 West Des Moines IA 50266-8216
Phone: (515) 875-9070
Fax: (515) 875-9071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD-19336 Iowa

Profile Details

NPI number 1407841273
LBN Legal business name Beaty, Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Sep 3rd, 2015 - about 10 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 1407841273 NPPES
Iowa MEDICAID 0428078

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