Individual
MR. JEFFREY ALLEN BEER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MA, LAT, ATC, CEAS
Contact information
Practice address
5050 N CLINTON ST, FORT WAYNE, IN 46825-5822
(800) 589-8551
Mailing address
9524 TALLOW DR, FORT WAYNE, IN 46804-1365
(260) 436-3957
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000906A
IN
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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