Beteta, Juan C
Beteta, Juan C is an individual health care provider with primary practice located at 620 John Paul Jones Cir , Portsmouth VA 23708-2111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Beteta, Juan C can be contacted via phone (757) 953-6366.Contact Information
Primary practice address
620 John Paul Jones Cir
Portsmouth VA 23708-2111
Phone: (757) 953-6366
Fax: (757) 953-6056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2009-01512 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 15929 | Mississippi |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101239136 | Virginia |
Profile Details
| NPI number | 1417942947 |
|---|---|
| LBN Legal business name | Beteta, Juan C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Dec 6th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417942947 | NPPES |
| Mississippi | MEDICAID | 00119596 |
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