Healthcare Provider Details

I. General information

NPI: 1952498198
Provider Name (Legal Business Name): BEALS INSTITUTE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2006
Last Update Date: 03/10/2020
Certification Date: 03/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4333 W ST JOE HWY
LANSING MI
48917-4100
US

IV. Provider business mailing address

4333 W ST JOE HWY
LANSING MI
48917-4100
US

V. Phone/Fax

Practice location:
  • Phone: 517-321-1525
  • Fax: 517-321-7059
Mailing address:
  • Phone: 517-321-1525
  • Fax: 517-321-7059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number038290
License Number StateMI

VIII. Authorized Official

Name: CAROL A BEALS
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 517-321-1525