Beckham, Carla Jolene
Beckham, Carla Jolene is an individual health care provider with primary practice located at 711 Troy Schenectady Rd Ste 119 , Latham NY 12110-2454. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Beckham, Carla Jolene can be contacted via phone (518) 786-9131.Contact Information
Primary practice address
711 Troy Schenectady Rd Ste 119
Latham NY 12110-2454
Phone: (518) 786-9131
Fax: (518) 786-9136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 267759 | New York |
Profile Details
| NPI number | 1922233691 |
|---|---|
| LBN Legal business name | Beckham, Carla Jolene |
| Credentials | MD/PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2009 |
| Last updated | Jan 8th, 2020 - about 4 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 | 1922233691 | NPPES |
| New York | MEDICAID | 04203605 |
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