Healthcare Provider Details

I. General information

NPI: 1801707948
Provider Name (Legal Business Name): NOAH BEALL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6470 FREETOWN RD
COLUMBIA MD
21044-4016
US

IV. Provider business mailing address

5810 RICHARDSON MEWS SQ
HALETHORPE MD
21227-4290
US

V. Phone/Fax

Practice location:
  • Phone: 410-992-0384
  • Fax:
Mailing address:
  • Phone: 410-992-0384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number03014
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: