Beckworth, Dennis D.

Beckworth, Dennis D. is an individual health care provider with primary practice located at 133 Route 3 , Dededo GU 96929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Beckworth, Dennis D. can be contacted via phone (671) 645-5546.

Contact Information

Primary practice address
133 Route 3 Dededo GU 96929
Phone: (671) 645-5546
Fax: (671) 645-5549
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 4225 Alaska
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MTL-2018-007 Guam
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X M-14552 Idaho
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X M-2121 Guam
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD11142 Oregon

Profile Details

NPI number 1265460661
LBN Legal business name Beckworth, Dennis D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jan 20th, 2024 - about 8 months 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 1265460661 NPPES
Alaska MEDICAID 1009058
Alaska MEDICAID MD07772
Alaska Other LISCENCE

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