Beazlie, Thomas M

Beazlie, Thomas M is an individual health care provider with primary practice located at 501 Butler Farm Rd Suite I, Hampton VA 23666-1564. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Beazlie, Thomas M can be contacted via phone (757) 251-7469.

Contact Information

Primary practice address
501 Butler Farm Rd Suite I Hampton VA 23666-1564
Phone: (757) 251-7469
Fax: (757) 251-7470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 0101027653 Virginia

Profile Details

NPI number 1679679468
LBN Legal business name Beazlie, Thomas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Oct 31st, 2007 - about 18 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 1679679468 NPPES
Virginia MEDICAID 5880246

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