Beaumont, Grace S.

Beaumont, Grace S. is an individual health care provider with primary practice located at 107 W Eldon St , Saint James MO 65559-1903. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Beaumont, Grace S. can be contacted via phone (573) 265-1818.

Contact Information

Primary practice address
107 W Eldon St Saint James MO 65559-1903
Phone: (573) 265-1818
Fax: (573) 265-1810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 103254 Missouri

Profile Details

NPI number 1700935459
LBN Legal business name Beaumont, Grace S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Mar 18th, 2024 - about 9 months 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 1700935459 NPPES
Missouri MEDICAID 208472100

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