Beaulac, Jonathan Edward

Beaulac, Jonathan Edward is an individual health care provider with primary practice located at 5041 N Royal Dr , Traverse City MI 49684-6986. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Beaulac, Jonathan Edward can be contacted via phone (231) 935-0600.

Contact Information

Primary practice address
5041 N Royal Dr Traverse City MI 49684-6986
Phone: (231) 935-0600
Fax: (231) 935-0613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 5101019890 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101019890 Michigan

Profile Details

NPI number 1508132283
LBN Legal business name Beaulac, Jonathan Edward
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2012
Last updated Apr 23rd, 2024 - about 8 months 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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