Beckstead, Todd Harrison

Beckstead, Todd Harrison is an individual health care provider with primary practice located at 419 S Washington St Suite 102, Casper WY 82601-2951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Beckstead, Todd Harrison can be contacted via phone (307) 577-4220.

Contact Information

Primary practice address
419 S Washington St Suite 102 Casper WY 82601-2951
Phone: (307) 577-4220
Fax: (307) 235-0931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 6214A Wyoming

Profile Details

NPI number 1336135763
LBN Legal business name Beckstead, Todd Harrison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jun 24th, 2010 - about 14 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 1336135763 NPPES
Montana MEDICAID 0069870
Montana Other 020043010
Montana MEDICAID 0575142
Montana MEDICAID 01155342
Montana Other 308059
Montana MEDICAID 114484700
Montana MEDICAID 8359366
Montana Other W308059
Montana MEDICAID 520883072

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