Beickert, Jason

Beickert, Jason is an sole proprietor health care provider with primary practice located at 117 Main St , Cold Spring Harbor NY 11724-1424. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Beickert, Jason can be contacted via phone (631) 987-5100.

Contact Information

Primary practice address
117 Main St Cold Spring Harbor NY 11724-1424
Phone: (631) 987-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 020900-1 New York

Profile Details

NPI number 1154589109
LBN Legal business name Beickert, Jason
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2008
Last updated Jun 6th, 2023 - about last year

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 1154589109 NPPES
New York MEDICAID 1497324529

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