Beaumont, Robert J

Beaumont, Robert J is an sole proprietor health care provider with primary practice located at 237 Wisconsin Ave , Waukesha WI 53186-4955. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Beaumont, Robert J can be contacted via phone (262) 542-5557.

Contact Information

Primary practice address
237 Wisconsin Ave Waukesha WI 53186-4955
Phone: (262) 542-5557
Fax: (262) 542-6199
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17613 Wisconsin

Profile Details

NPI number 1710971668
LBN Legal business name Beaumont, Robert J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2005
Last updated Jul 8th, 2007 - about 17 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 1710971668 NPPES
Wisconsin MEDICAID 30036000

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