Beaty, Steve
Beaty, Steve is an sole proprietor health care provider with primary practice located at 837 Kings Crossing Dr Ste 10 , Tupelo MS 38804-0952. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Beaty, Steve can be contacted via phone (662) 269-4175.Contact Information
Primary practice address
837 Kings Crossing Dr Ste 10
Tupelo MS 38804-0952
Phone: (662) 269-4175
Fax: (662) 269-4176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 669 | Mississippi |
Profile Details
| NPI number | 1043394208 |
|---|---|
| LBN Legal business name | Beaty, Steve |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Jul 11th, 2022 - about 2 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 | 1043394208 | NPPES |
| Mississippi | MEDICAID | 00880181 |
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