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Individual

MR. MICHAEL BEAUDOIN

Active
Find providers by NPI
Individual

MR. MICHAEL BEAUDOIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTO12778L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1687414
HIGHMARK BLUE SHIELD
PA
01
—
1726303
BLUE SHIELD PC
PA
01
—
2395652000
KEYSTONE HEALTH PLAN EAST
PA
01
—
246902
HORIZON NJ PLUS
PA
01
—
30023534
KEYSTONE MERCY
PA
01
—
3839602
AETNA
PA
01
—
45798
HEALTH PARTNERS
PA
01
—
50711
US HEALTHCARE
PA
01
—
610675900
US DEPT OF LABOR
PA
01
—
Q87414
AMERIHEALTH ADMIN
PA
Enumeration date
01/23/2006
Last updated
03/15/2016
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