Beauchamp, Kristine Lynne

Beauchamp, Kristine Lynne is an individual health care provider with primary practice located at 120 Medical Dr , Boerne TX 78006. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Beauchamp, Kristine Lynne can be contacted via phone (830) 249-9307.

Contact Information

Primary practice address
120 Medical Dr Boerne TX 78006
Fax: (830) 249-8227
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L6285 Texas

Profile Details

NPI number 1922067800
LBN Legal business name Beauchamp, Kristine Lynne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jul 11th, 2018 - about 6 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 1922067800 NPPES
Texas MEDICAID 157883305
Texas Other 8M7999
Texas Other P00195396

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