Organization
JASPER FAMILY PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN E. BECKMAN M.D. (PRESIDENT/OWNER)
(812) 482-9555
Entity
Organization
Contact information
Practice address
1950 SAINT CHARLES ST, SUITE 4, JASPER, IN 47546-9172
(812) 482-9555
(812) 482-9073
Mailing address
1950 SAINT CHARLES ST, SUITE 4, JASPER, IN 47546-2254
(812) 482-9555
(812) 482-9073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50003215A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000182798
ANTHEM BLUE CROSS
IN
05
—
100110790A
—
IN
Enumeration date
07/13/2006
Last updated
11/29/2011
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