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Individual
JOHN CHRISTOPHER BEAUCHAMP
Active
Individual
JOHN CHRISTOPHER BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 5600-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00077444470
AETNA ID
WI
01
—
11231010
CAQH PROVIDER ID
WI
01
—
200009840014
BLUE CROSS BLUE SHIELD
WI
01
—
2128442
FIRST HEALTH ID
WI
01
—
610442200
OWCP, US DEPT. OF LABOR
WI
01
—
PT 5600-024
PT LICENSE
WI
Enumeration date
09/04/2006
Last updated
04/17/2013
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