Individual
JENNIFER BEICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
7695 S COUNTY ROAD 25A, TIPP CITY, OH 45371-9215
(937) 667-4678
Mailing address
7695 S COUNTY ROAD 25A, TIPP CITY, OH 45371-9215
(937) 667-4678
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1801330-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TP173104
DRIVERS LICENSE
OH
Enumeration date
01/22/2019
Last updated
01/22/2019
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