Beebout, Lance Jeffrey

Beebout, Lance Jeffrey is an individual health care provider with primary practice located at 111 17Th Ave E Ste 101 , Alexandria MN 56308-3734. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Beebout, Lance Jeffrey can be contacted via phone (320) 762-1144.

Contact Information

Primary practice address
111 17Th Ave E Ste 101 Alexandria MN 56308-3734
Phone: (320) 762-1144
Fax: (320) 762-1935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9887 Minnesota

Profile Details

NPI number 1255300091
LBN Legal business name Beebout, Lance Jeffrey
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Mar 7th, 2023 - about 2 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 1255300091 NPPES
Minnesota MEDICAID 1255300091

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