Beeber, Bruce
Beeber, Bruce is an sole proprietor health care provider with primary practice located at 1009 Milstead Ave Ste 110, Conyers GA 30012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Beeber, Bruce can be contacted via phone (770) 922-1400.Contact Information
Primary practice address
1009 Milstead Ave Ste 110
Conyers GA 30012
Phone: (770) 922-1400
Fax: (770) 922-3437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 026825 | Georgia |
Profile Details
| NPI number | 1215945183 |
|---|---|
| LBN Legal business name | Beeber, Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Mar 13th, 2019 - about 6 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 | 1215945183 | NPPES |
| Georgia | MEDICAID | 00292399A |
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