Healthcare Provider Details

I. General information

NPI: 1144297995
Provider Name (Legal Business Name): ABRAHAM W BEABER II D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 11/30/2021
Certification Date: 11/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 LAKEVIEW DR
NOBLESVILLE IN
46060-1210
US

IV. Provider business mailing address

220 LAKEVIEW DR
NOBLESVILLE IN
46060-1210
US

V. Phone/Fax

Practice location:
  • Phone: 317-776-1061
  • Fax:
Mailing address:
  • Phone: 317-776-1061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08002208A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: