Individual
JAMES MICHAEL BEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2610 CAMDEN AVE, PARKERSBURG, WV 26101-5652
(304) 424-4730
(304) 424-4733
Mailing address
2610 CAMDEN AVE, PARKERSBURG, WV 26101-5652
(304) 424-4730
(304) 424-4733
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11534
WV
208D00000X
General Practice Physician
11534
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056459000
—
WV
Enumeration date
09/22/2005
Last updated
09/14/2015
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