Bescak, Kenneth John

Bescak, Kenneth John is an individual health care provider with primary practice located at 294 W State Route 89A Suite 107, Cottonwood AZ 86326-3754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bescak, Kenneth John can be contacted via phone (928) 634-1331.

Contact Information

Primary practice address
294 W State Route 89A Suite 107 Cottonwood AZ 86326-3754
Phone: (928) 634-1331
Fax: (928) 634-3130
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35036051 Ohio
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 40903 Arizona

Profile Details

NPI number 1164401592
LBN Legal business name Bescak, Kenneth John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Nov 4th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164401592 NPPES
Ohio Other E36051 SUMMA
Ohio MEDICAID 0413832 SUMMA
Ohio Other 000000128703 SUMMA
Ohio Other 100402 SUMMA
Ohio MEDICAID 413507 SUMMA
Ohio Other 060013315 SUMMA
Ohio Other 341221800045 SUMMA

Popular Providers