Individual
MICHAEL JASON BEEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
54299
TN
207X00000X
Orthopaedic Surgery Physician
ME122807
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014977000
—
FL
05
—
08221043
—
MS
05
—
215864001
—
AR
05
—
Q025032
—
TN
Enumeration date
04/19/2010
Last updated
05/01/2018
Update your record
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