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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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 1952473431 NPPES
Tennessee MEDICAID 1516715

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