Organization
KARL J. BEER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L BAHNSEN (SENIOR CREDENTIALING COORDINATOR)
(419) 824-7334
Entity
Organization
Contact information
Practice address
2865 N REYNOLDS RD, SUITE 160, TOLEDO, OH 43615-2068
(419) 578-4260
(419) 537-5630
Mailing address
2865 N REYNOLDS RD, SUITE 160, TOLEDO, OH 43615-2068
(419) 578-4260
(419) 537-5630
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000615200
ANTHEM
—
05
—
2947646
—
OH
01
—
614532400
DOL-ACS
—
Enumeration date
05/07/2009
Last updated
10/12/2009
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