Beauchamp, Jeremy Todd

Beauchamp, Jeremy Todd is an individual health care provider with primary practice located at 1060 Gaffney Rd Stop 7440 Bassett Army Community Hospital (Attn Mcuc-Mmd-Qm), Ft Wainwright AK 99703-5007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Beauchamp, Jeremy Todd can be contacted via phone (907) 361-5603.

Contact Information

Primary practice address
1060 Gaffney Rd Stop 7440 Bassett Army Community Hospital (Attn Mcuc-Mmd-Qm) Ft Wainwright AK 99703-5007
Phone: (907) 361-5603
Fax: (907) 361-4847
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01055286A Indiana

Profile Details

NPI number 1881763720
LBN Legal business name Beauchamp, Jeremy Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jan 14th, 2016 - about 8 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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