Beine, David Thomas

Beine, David Thomas is an individual health care provider with primary practice located at 1716 Hartford St , Lafayette IN 47904-2138. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Beine, David Thomas can be contacted via phone (765) 742-1567.

Contact Information

Primary practice address
1716 Hartford St Lafayette IN 47904-2138
Phone: (765) 742-1567
Fax: (765) 429-2700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 36001848A Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 278-039 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71008226A Indiana

Profile Details

NPI number 1508164484
LBN Legal business name Beine, David Thomas
Credentials AGPCNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2011
Last updated May 9th, 2022 - 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 1508164484 NPPES
Indiana MEDICAID 300030435

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