Beauchamp, Gary D

Beauchamp, Gary D is an individual health care provider with primary practice located at 1530 N Church Rd , Liberty MO 64068-7129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Beauchamp, Gary D can be contacted via phone (816) 781-1696.

Contact Information

Primary practice address
1530 N Church Rd Liberty MO 64068-7129
Phone: (816) 781-1696
Fax: (816) 781-5438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X R5969 Missouri
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 04-14844 Kansas

Profile Details

NPI number 1528080686
LBN Legal business name Beauchamp, Gary D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Dec 18th, 2013 - about 12 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 1528080686 NPPES
Other 225043 HEALTHLINK-NCPPO
Other 4001285 HEALTHLINK-NCPPO
Other 557640 HEALTHLINK-NCPPO
Other 151824XX HEALTHLINK-NCPPO
Other 504290 HEALTHLINK-NCPPO
Other 10001216901 HEALTHLINK-NCPPO
MEDICAID 100202570A HEALTHLINK-NCPPO
Other 051563 HEALTHLINK-NCPPO
Other 04472015 HEALTHLINK-NCPPO
MEDICAID 200019503 HEALTHLINK-NCPPO
MEDICAID 100202570B HEALTHLINK-NCPPO

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