Beaty, Patricia Ann

Beaty, Patricia Ann is an individual health care provider with primary practice located at 3750 Landmark Dr Suite A, Lafayette IN 47905-6652. 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, Patricia Ann can be contacted via phone (765) 448-4511.

Contact Information

Primary practice address
3750 Landmark Dr Suite A Lafayette IN 47905-6652
Phone: (765) 448-4511
Fax: (765) 447-7312
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05001385A Indiana

Profile Details

NPI number 1417169244
LBN Legal business name Beaty, Patricia Ann
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Feb 10th, 2014 - 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 1417169244 NPPES
Indiana MEDICAID 100133720N
Indiana MEDICAID 100389470

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