Beckham, Loren E

Beckham, Loren E is an individual health care provider with primary practice located at 627 W 4Th St , Lexington KY 40508-1207. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Beckham, Loren E can be contacted via phone (859) 253-1686.

Contact Information

Primary practice address
627 W 4Th St Lexington KY 40508-1207
Phone: (859) 253-1686
Fax: (859) 254-2743
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 812 Kentucky

Profile Details

NPI number 1376683227
LBN Legal business name Beckham, Loren E
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Jul 9th, 2007 - about 19 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 1376683227 NPPES
Kentucky MEDICAID 30615058

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