Beaumont, Dale William

Beaumont, Dale William is an individual health care provider with primary practice located at 42633 Garfield Rd Ste 318 , Clinton Township MI 48038-5033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Beaumont, Dale William can be contacted via phone (586) 286-7670.

Contact Information

Primary practice address
42633 Garfield Rd Ste 318 Clinton Township MI 48038-5033
Phone: (586) 286-7670
Fax: (586) 286-5179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4301034186 Michigan

Profile Details

NPI number 1164433108
LBN Legal business name Beaumont, Dale William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jul 9th, 2008 - about 16 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 1164433108 NPPES
Michigan Other 1164433108 INDIVIDUAL NPI
Michigan Other 0504232 INDIVIDUAL NPI
Michigan Other P57770001 INDIVIDUAL NPI
Michigan Other 0P57770 INDIVIDUAL NPI
Michigan MEDICAID 2132199 INDIVIDUAL NPI
Michigan Other 1144495193 INDIVIDUAL NPI

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