Beauchamp, Jacques L
Beauchamp, Jacques L is an individual health care provider with primary practice located at 4216 Washington Rd Ste 2 , Evans GA 30809-4717. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Beauchamp, Jacques L can be contacted via phone (706) 814-5460.Contact Information
Primary practice address
4216 Washington Rd Ste 2
Evans GA 30809-4717
Phone: (706) 814-5460
Fax: (706) 814-5574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT000993 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT007231 | Georgia |
Profile Details
| NPI number | 1497703318 |
|---|---|
| LBN Legal business name | Beauchamp, Jacques L |
| Credentials | PT,DPT,SCS,OCS,ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jun 9th, 2021 - about 3 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 | 1497703318 | NPPES |
| Georgia | MEDICAID | 095783718B |
Popular Providers
-
Parton, Teresa K
7013 Evans Town Center Blvd Suite 201, Evans GA 30809-5130 -
Purnell, Gentry Renee
4405 Evans To Locks Road , Evans GA 30906-7909 -
Stickel, Andrew Philip
4405 Evans To Locks Rd Ste C , Evans GA 30809-3603 -
Lee, Katherine B
685 N Belair Rd , Evans GA 30809-5130 -
Curry, Susan
4405 Evans To Locks Rd , Evans GA 30809-3603 -
Decario-Webber, Karen P
4274 Washington Rd Suite 3, Evans GA 30809-3070 -
Collins, William R
7013 Evans Town Center Blvd Suite 201, Evans GA 30809-5130 -
Rogers, Tracey Mayer
702 Avrett Cir , Evans GA 30809-6676