Beavins, Jill
Beavins, Jill is an individual health care provider with primary practice located at 806 Jackson St , Columbus IN 47201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Beavins, Jill can be contacted via phone (812) 748-3412.Contact Information
Primary practice address
806 Jackson St
Columbus IN 47201
Phone: (812) 748-3412
Fax: (812) 748-3412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01054606 | Indiana |
Profile Details
| NPI number | 1164509667 |
|---|---|
| LBN Legal business name | Beavins, Jill |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 24th, 2018 - about 7 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 | 1164509667 | NPPES |
| Indiana | MEDICAID | 200285110 |
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