Van Bergeyk, Anthony Beaumont

Van Bergeyk, Anthony Beaumont is an individual health care provider with primary practice located at 3801 5Th St Se Ste 110 , Puyallup WA 98374-2106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Van Bergeyk, Anthony Beaumont can be contacted via phone (253) 845-9585.

Contact Information

Primary practice address
3801 5Th St Se Ste 110 Puyallup WA 98374-2106
Phone: (253) 845-9585
Fax: (253) 848-1126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 601484763 Washington
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X MD00044729 Washington

Profile Details

NPI number 1316987803
LBN Legal business name Van Bergeyk, Anthony Beaumont
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Oct 16th, 2023 - about 2 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 1316987803 NPPES
Washington MEDICAID 1033926

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