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Individual

DR. JOSEPH HERMAN BEAVEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9431 COUNTY ROAD 403, CHARLESTOWN, IN 47111-8946
(812) 256-6391
(812) 256-6050
Mailing address
9431 COUNTY ROAD 403, CHARLESTOWN, IN 47111-8946
(812) 256-6391
(812) 256-6050

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01032564A
IN
207R00000X
Internal Medicine Physician
Primary
01032564A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100075890
IN
01
180443
BLACK LUNG
IN
Enumeration date
09/21/2005
Last updated
02/21/2022
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