Individual
MRS. REBECCA LOU BEAUCHAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10081 FREDERICKSBURG RD NW, DEPAUW, IN 47115-8629
(812) 347-2568
(812) 347-2568
Mailing address
10081 FREDERICKSBURG RD NW, DEPAUW, IN 47115-8629
(812) 347-2568
(812) 347-2568
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
363A00000X
Physician Assistant
Primary
10002958A
IN
363AS0400X
Surgical Physician Assistant
PA2599
KY
Other
Enumeration date
08/23/2010
Last updated
04/11/2025
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