Individual
DR. JACQUES DAVID BEVERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3952 PARKVIEW DR, CHEYENNE, WY 82001-8102
(307) 637-7700
(307) 637-5672
Mailing address
3952 PARKVIEW DR, CHEYENNE, WY 82001-8102
(307) 637-7700
(307) 637-5672
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6275A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114992000
—
WY
01
—
W22005
MEDICARE PTAN
WY
Enumeration date
04/23/2008
Last updated
12/19/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us