William T Beasley Psc

LBN: William T Beasley Psc
William T Beasley Psc is an health care organization with primary practice located at 4602 Southern Pkwy 1B, Louisville KY 40214-1442. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. William T Beasley Psc can be contacted via phone (502) 366-1479, or through Beasley, William T via phone (502) 366-1479.

Contact Information

Primary practice address
4602 Southern Pkwy 1B Louisville KY 40214-1442
Phone: (502) 366-1479
Fax: (502) 366-6718
Website:
Map and Directions
Authorized official contact:
Name: Beasley, William T Doctor of Podiatric Medicine (DPM)
Phone: (502) 366-1479

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 00126 Kentucky

Profile Details

NPI number 1467506501
LBN Legal business name William T Beasley Psc
DBA Doing business as
Authorized official Beasley, William T Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Aug 28th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467506501 NPPES
Kentucky MEDICAID 80903685

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