Bedeau, John Wycliff
Bedeau, John Wycliff is an sole proprietor health care provider with primary practice located at 9301 Largo Drive West Suite 201 , Largo MD 20774-4884. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bedeau, John Wycliff can be contacted via phone (301) 350-8722.Contact Information
Primary practice address
9301 Largo Drive West Suite 201
Largo MD 20774-4884
Phone: (301) 350-8722
Fax: (301) 350-8822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | D0030666 | Maryland |
Profile Details
| NPI number | 1487646154 |
|---|---|
| LBN Legal business name | Bedeau, John Wycliff |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Nov 18th, 2015 - about 10 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 | 1487646154 | NPPES |
| District of Columbia | MEDICAID | 025110100 |
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