Individual
MICHAEL J BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
7002 W JOHNSON RD, LA PORTE, IN 46350-8289
(219) 325-0604
(219) 879-1401
Mailing address
PO BOX 1690, LA PORTE, IN 46352-1690
(219) 326-2312
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000746A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000792654
ANTHEM BCBS
IN
05
—
200233470
—
IN
Enumeration date
08/07/2006
Last updated
02/06/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us