Beaty, Sean Daly

Beaty, Sean Daly is an individual health care provider with primary practice located at 4101 Wagon Trail Ave , Las Vegas NV 89118-4426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Beaty, Sean Daly can be contacted via phone (702) 942-4123.

Contact Information

Primary practice address
4101 Wagon Trail Ave Las Vegas NV 89118-4426
Phone: (702) 942-4123
Fax: (702) 942-4124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 11844 Nevada

Profile Details

NPI number 1316920986
LBN Legal business name Beaty, Sean Daly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jan 11th, 2013 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316920986 NPPES
Nevada Other P00342670 RR MEDICARE
Nevada Other 86080015085259A463 RR MEDICARE
Nevada MEDICAID 100509912 RR MEDICARE
Nevada MEDICAID 939788 RR MEDICARE
Nevada Other CC4853 RR MEDICARE

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