Besaw, Beth A

Besaw, Beth A is an individual health care provider with primary practice located at 1250 Ralston Ave Suite 104, Defiance OH 43512-5311. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Besaw, Beth A can be contacted via phone (419) 783-6995.

Contact Information

Primary practice address
1250 Ralston Ave Suite 104 Defiance OH 43512-5311
Phone: (419) 783-6995
Fax: (419) 784-1606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35075892 Ohio

Profile Details

NPI number 1013900950
LBN Legal business name Besaw, Beth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Apr 30th, 2012 - 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 1013900950 NPPES
Ohio MEDICAID 2166507
Ohio Other 000000340015
Ohio Other 7656122
Ohio Other 2-95562
Ohio Other P00158158
Ohio Other 03593

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