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NPI Code Detail

MEDICARE: JEFFREY J BEEM D.C.

MEDICARE:   JEFFREY J BEEM  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2327-012WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619068202
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY J BEEM D.C.
Provider Business Mailing Address
First Line : 215 JACKSON AVE
Second Line :
City : OMRO
State : WI
Zip : 54963-1429
Country : US
Telephone Number : 920-685-6788
Fax Number : 920-685-0293
Provider Business Practice Location Address
First Line : 215 JACKSON AVE
Second Line :
City : OMRO
State : WI
Zip : 54963-1429
Country : US
Telephone Number : 920-685-6788
Fax Number : 920-685-0293
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 07/08/2007

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Directions to “ JEFFREY J BEEM D.C.” Practice Location

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