Beauchamp, Caitlin Grace Raelee
Beauchamp, Caitlin Grace Raelee is an sole proprietor health care provider with primary practice located at 251 E Southlake Blvd Ste 150 , Southlake TX 76092-6276. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as her primary health care specialty. Beauchamp, Caitlin Grace Raelee can be contacted via phone (817) 424-0971.Contact Information
Primary practice address
251 E Southlake Blvd Ste 150
Southlake TX 76092-6276
Phone: (817) 424-0971
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic | 246ZE0600X |
Profile Details
| NPI number | 1356078877 |
|---|---|
| LBN Legal business name | Beauchamp, Caitlin Grace Raelee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2022 |
| Last updated | Aug 4th, 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 | 1356078877 | NPPES |
| Texas | Other | 33984926 | DRIVERS LICENSE |
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