Beemer, Jacquelyn Ray

Beemer, Jacquelyn Ray is an individual health care provider with primary practice located at 5650 Coventry Ln , Fort Wayne IN 46804-7140. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Beemer, Jacquelyn Ray can be contacted via phone (260) 436-9696.

Contact Information

Primary practice address
5650 Coventry Ln Fort Wayne IN 46804-7140
Phone: (260) 436-9696
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 10002412A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10002412A Indiana

Profile Details

NPI number 1396248415
LBN Legal business name Beemer, Jacquelyn Ray
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2018
Last updated Mar 15th, 2018 - about 7 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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