Beaumont, Gary Robert
Beaumont, Gary Robert is an individual health care provider with primary practice located at 3000 Saint Matthews Rd , Orangeburg SC 29118-1442. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Beaumont, Gary Robert can be contacted via phone (803) 395-2200.Contact Information
Primary practice address
3000 Saint Matthews Rd
Orangeburg SC 29118-1442
Phone: (803) 395-2200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 123746 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | APN10192 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 123746 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 6045A | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 4072 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN605111 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 77137 | West Virginia |
Profile Details
| NPI number | 1376541722 |
|---|---|
| LBN Legal business name | Beaumont, Gary Robert |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Apr 27th, 2011 - about 13 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 | 1376541722 | NPPES |
| Kentucky | MEDICAID | 74400805 | |
| Kentucky | MEDICAID | GP2825 | |
| Kentucky | Other | 4274202 | |
| Kentucky | Other | 000000685047 |
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