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Individual
DR. JAMES WILLIAM BEAUCHAMP
Active
Individual
DR. JAMES WILLIAM BEAUCHAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01678
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10434460
CAQH ID NUMBER
—
01
—
1141701
ANOTHER AETNA #
—
01
—
1323843
AETNA
—
01
—
1551638
FIRST HEALTH INS
—
01
—
325540
PHCS INS. #
—
01
—
672779
ACN PROVIDER NUMBER
—
01
—
7365788
AETNA OTHER #'S
—
01
—
763B
MARYLAND BCBS
—
01
—
K4510001
BCBS FOR WASH DC
DC
01
—
K4510001
BCBS FEDERAL
—
01
—
S01678
CHIROPRACTIC LICENSE
MD
Enumeration date
11/09/2006
Last updated
06/02/2015
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