Beeler, Jack E.
Beeler, Jack E. is an sole proprietor health care provider with primary practice located at 621 N Virginia St , Port Lavaca TX 77979-3021. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Beeler, Jack E. can be contacted via phone (361) 552-6814.Contact Information
Primary practice address
621 N Virginia St
Port Lavaca TX 77979-3021
Phone: (361) 552-6814
Fax: (361) 552-8193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 10567 | Texas |
Profile Details
| NPI number | 1124134689 |
|---|---|
| LBN Legal business name | Beeler, Jack E. |
| Credentials | DDS, PC. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Jul 9th, 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 | 1124134689 | NPPES |
| Texas | Other | 831716 | UNITED CONCORDIA |
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