Beaulieu, Brian L

Beaulieu, Brian L is an individual health care provider with primary practice located at 2004 Sandbridge Rd Ste 102 , Virginia Beach VA 23456-4084. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Beaulieu, Brian L can be contacted via phone (757) 301-6419.

Contact Information

Primary practice address
2004 Sandbridge Rd Ste 102 Virginia Beach VA 23456-4084
Phone: (757) 301-6419
Fax: (757) 301-6419
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305202244 Virginia

Profile Details

NPI number 1568426989
LBN Legal business name Beaulieu, Brian L
Credentials PT, MPT, OCS,CMTPT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Apr 12th, 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 1568426989 NPPES
Virginia Other P00140444 RAILROAD MEDICARE
Virginia MEDICAID 010097215 RAILROAD MEDICARE
Virginia Other 192967 RAILROAD MEDICARE
Virginia Other 7445089 RAILROAD MEDICARE

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