Chick, Jeffrey Beecham

Chick, Jeffrey Beecham is an sole proprietor health care provider with primary practice located at 1201 Porches Dr Suite 2, Wilmington NC 28409. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Chick, Jeffrey Beecham can be contacted via phone (315) 727-6084.

Contact Information

Primary practice address
1201 Porches Dr Suite 2 Wilmington NC 28409
Fax: (315) 579-2561
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 127721-1 New York
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 127721 New York

Profile Details

NPI number 1477650554
LBN Legal business name Chick, Jeffrey Beecham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jan 11th, 2019 - about 6 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 1477650554 NPPES
New York MEDICAID 00570434

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