Individual
DALE WILLIAM BEAUMONT
Active
Individual
DALE WILLIAM BEAUMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301034186
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0504232
MEDICARE LEGACY PROVIDER NUMBER FOR INDIVIDUAL NPI
MI
01
—
0P57770
NPI GROUP PROVIDER TRANSACTION ACCESS NUMBER(PTAN)
MI
01
—
1144495193
NPI GROUP NUMBER
MI
01
—
1164433108
INDIVIDUAL NPI
MI
05
—
2132199
—
MI
01
—
P57770001
NPI INDIVIDUAL PROVIDER TRANSACTION ACCESS NUMBER(PTAN)
MI
Enumeration date
08/11/2006
Last updated
07/09/2008
Update your record
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