Beauclair, John Gregory
Beauclair, John Gregory is an individual health care provider with primary practice located at 3838 12Th Ave N , Fargo ND 58102-2931. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Beauclair, John Gregory can be contacted via phone (701) 234-4700.Contact Information
Primary practice address
3838 12Th Ave N
Fargo ND 58102-2931
Phone: (701) 234-4700
Fax: (701) 234-4757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 5218 | North Dakota |
Profile Details
| NPI number | 1477571172 |
|---|---|
| LBN Legal business name | Beauclair, John Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Mar 29th, 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 | 1477571172 | NPPES |
| North Dakota | MEDICAID | 15009 |
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