1467464065 NPI number — STEPHEN M BEETSTRA

Table of content: STEPHEN M BEETSTRA (NPI 1467464065)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467464065 NPI number — STEPHEN M BEETSTRA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BEETSTRA
Provider First Name:
STEPHEN
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467464065
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/16/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1581 DODD DR.
Provider Second Line Business Mailing Address:
MCCAMPBELL HALL RM. 345
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43210-1257
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-685-3197
Provider Business Mailing Address Fax Number:
614-685-3212

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1581 DODD DR.
Provider Second Line Business Practice Location Address:
MCCAMPBELL HALL -RM. 345
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43210-4321
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-685-3197
Provider Business Practice Location Address Fax Number:
614-685-3212
Provider Enumeration Date:
08/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  30026044 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0411082 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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