Beyersdorf, Steven R
Beyersdorf, Steven R is an individual health care provider with primary practice located at 105 W 8Th Ave Ste 7010, Spokane WA 99204-2302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Beyersdorf, Steven R can be contacted via phone (509) 747-6194.Contact Information
Primary practice address
105 W 8Th Ave Ste 7010
Spokane WA 99204-2302
Phone: (509) 747-6194
Fax: (509) 838-0824
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD00024546 | Washington |
Profile Details
| NPI number | 1538131636 |
|---|---|
| LBN Legal business name | Beyersdorf, Steven R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jul 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538131636 | NPPES |
| Other | 0189195 | DEPT LABOR & INDUSTRIES | |
| Other | P00200819 | DEPT LABOR & INDUSTRIES | |
| MEDICAID | 1012717 | DEPT LABOR & INDUSTRIES |
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