Healthcare Provider Details

I. General information

NPI: 1508814237
Provider Name (Legal Business Name): FRANCIS J BEAN DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 05/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 HADLEY RD
MOORESVILLE IN
46158-1794
US

IV. Provider business mailing address

1001 HADLEY RD
MOORESVILLE IN
46158-1794
US

V. Phone/Fax

Practice location:
  • Phone: 317-834-5777
  • Fax: 317-834-5776
Mailing address:
  • Phone: 317-834-5777
  • Fax: 317-834-5776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number07000527
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: