Beckstrom, Kathryn J.
Beckstrom, Kathryn J. is an individual health care provider with primary practice located at 5 Richland Medical Park , Columbia SC 29203-8000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Beckstrom, Kathryn J. can be contacted via phone (803) 434-2797.Contact Information
Primary practice address
5 Richland Medical Park
Columbia SC 29203-8000
Phone: (803) 434-2797
Fax: (803) 434-7038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 16621 | South Carolina |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 16621 | South Carolina |
Profile Details
| NPI number | 1467411579 |
|---|---|
| LBN Legal business name | Beckstrom, Kathryn J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Oct 1st, 2007 - about 17 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 | 1467411579 | NPPES |
| South Carolina | MEDICAID | 166215 |
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