Beaver, Steven R

Beaver, Steven R is an sole proprietor health care provider with primary practice located at 919 E Grace St , Rensselaer IN 47978-3207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Beaver, Steven R can be contacted via phone (219) 866-8971.

Contact Information

Primary practice address
919 E Grace St Rensselaer IN 47978-3207
Phone: (219) 866-8971
Fax: (219) 866-4115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01026996 Indiana

Profile Details

NPI number 1528175676
LBN Legal business name Beaver, Steven R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2006
Last updated Sep 27th, 2013 - about 12 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 1528175676 NPPES
Indiana MEDICAID 100142800
Indiana Other B28842
Indiana Other 000000084577

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