Beeman, Stephen Kenn

Beeman, Stephen Kenn is an individual health care provider with primary practice located at 5681 Highway 363 , Mantachie MS 38855-7632. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is his primary health care specialty. Beeman, Stephen Kenn can be contacted via phone (662) 282-4226.

Contact Information

Primary practice address
5681 Highway 363 Mantachie MS 38855-7632
Phone: (662) 282-4226
Fax: (662) 282-7946
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13262 Mississippi
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 13262 Mississippi
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 13262 Mississippi

Profile Details

NPI number 1982999314
LBN Legal business name Beeman, Stephen Kenn
Credentials M.D., M.P.H., FACS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2011
Last updated Sep 28th, 2011 - about 13 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 1982999314 NPPES
Mississippi MEDICAID 00110443

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