Beckett, Brenda J

Beckett, Brenda J is an sole proprietor health care provider with primary practice located at 10 Wayman Ln , Bar Harbor ME 04609-1625. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Beckett, Brenda J can be contacted via phone (207) 288-5081.

Contact Information

Primary practice address
10 Wayman Ln Bar Harbor ME 04609-1625
Fax: (207) 288-7024
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA189 Maine

Profile Details

NPI number 1134214018
LBN Legal business name Beckett, Brenda J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Mar 7th, 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 1134214018 NPPES
Maine MEDICAID 411230099
Maine Other PA1208

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