Organization
JOSEPH H BEAVEN, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH HERMAN BEAVEN MD (MD)
(812) 256-6391
Entity
Organization
Contact information
Practice address
9431 COUNTY ROAD 403, CHARLESTOWN, IN 47111-8946
(812) 256-6391
(812) 256-6050
Mailing address
9431 COUNTY ROAD 403, CHARLESTOWN, IN 47111-8946
(812) 256-6391
(812) 256-6050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180443
BLACK LUNG
IN
05
—
300036095
—
IN
Enumeration date
08/27/2006
Last updated
09/26/2021
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