Beauregard, George H
Beauregard, George H is an individual health care provider with primary practice located at 200 Providence Hwy Suite 202-203, Dedham MA 02026-1881. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Beauregard, George H can be contacted via phone (781) 326-7815.Contact Information
Primary practice address
200 Providence Hwy Suite 202-203
Dedham MA 02026-1881
Phone: (781) 326-7815
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 71190 | Massachusetts |
Profile Details
| NPI number | 1396883880 |
|---|---|
| LBN Legal business name | Beauregard, George H |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396883880 | NPPES |
| Massachusetts | MEDICAID | 3065260 | |
| Massachusetts | Other | J10173 |
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