Organization
JOHN L BEAN DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LOUIS BEAN DO (PRESIDENT)
(816) 781-7511
Entity
Organization
Contact information
Practice address
1132 W KANSAS ST, LIBERTY, MO 64068
(816) 781-7511
(816) 781-3881
Mailing address
1132 W KANSAS ST, LIBERTY, MO 64068
(816) 781-7511
(816) 781-3881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6851
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108237
UNITED HEALTHCARE
—
01
—
05004031
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/26/2006
Last updated
08/22/2020
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