Beaudis, Michael C

Beaudis, Michael C is an individual health care provider with primary practice located at 1700 E Market St , Warren OH 44483-6625. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Beaudis, Michael C can be contacted via phone (330) 399-5577.

Contact Information

Primary practice address
1700 E Market St Warren OH 44483-6625
Phone: (330) 399-5577
Fax: (330) 399-6918
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC-00-4647 R Pennsylvania
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36-00-3157 Ohio

Profile Details

NPI number 1821095217
LBN Legal business name Beaudis, Michael C
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Feb 21st, 2019 - 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 1821095217 NPPES
Ohio MEDICAID 2316836
Ohio MEDICAID 01900612
Ohio MEDICAID 2701192-000

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