Individual
MR. CHIRMAN BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
400 S. 5TH ST APT A9, DARBY, PA 19023
(267) 232-7615
Mailing address
400 S 5TH ST APT A9, DARBY, PA 19023-2713
(267) 232-7615
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN273495
PA
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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