Individual
MS. MARY ELLEN BEEGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
119 EAST 4TH STREET, SEDALIA, MO 65301
(660) 553-5298
(660) 553-5301
Mailing address
119 EAST 4TH STREET, SEDALIA, MO 65301
(660) 553-5298
(660) 553-5301
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2006012200
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44394018
BCBS KC
MO
01
—
P00968639
RR MEDICARE
MO
Enumeration date
08/25/2006
Last updated
11/29/2023
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