Beaulieu, Keith Allen

Beaulieu, Keith Allen is an individual health care provider with primary practice located at 540 N Duke St Suite 244, Lancaster PA 17602-2374. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Beaulieu, Keith Allen can be contacted via phone (717) 544-4930.

Contact Information

Primary practice address
540 N Duke St Suite 244 Lancaster PA 17602-2374
Phone: (717) 544-4930
Fax: (717) 544-4964
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MT182532 Pennsylvania

Profile Details

NPI number 1043474364
LBN Legal business name Beaulieu, Keith Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2008
Last updated Jan 14th, 2010 - about 14 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 1043474364 NPPES
Pennsylvania MEDICAID 1023706850001

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