Beaulieu, Phillip L.
Beaulieu, Phillip L. is an individual health care provider with primary practice located at 310 25Th Ave N Ste 203 , Nashville TN 37203-1593. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Beaulieu, Phillip L. can be contacted via phone (615) 815-1560.Contact Information
Primary practice address
310 25Th Ave N Ste 203
Nashville TN 37203-1593
Phone: (615) 815-1560
Fax: (615) 610-1199
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 45139 | Tennessee |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 45139 | Tennessee |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 45139 | Tennessee |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 45139 | Tennessee |
Profile Details
NPI number | 1952473431 |
---|---|
LBN Legal business name | Beaulieu, Phillip L. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 14th, 2006 |
Last updated | Aug 4th, 2022 - about 3 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 | 1952473431 | NPPES |
Tennessee | MEDICAID | 1516715 |
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