Benjamin Ward Beecher ATC

NPI 1235412354 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1235412354
Gender Male
Enumeration Date 09/25/2011
Last Updated 09/25/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1651 HILLSIDE DR
STROUDSBURG PA, 18360-2734, US
Phone (541) 778-0278
Fax
Business Location
1651 HILLSIDE DR
STROUDSBURG PA, 18360-2734, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State Oregon
License Number 9995010
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According to our database, Benjamin Ward Beecher ATC NPI is 1235412354, taxonomy code is 390200000X and license number is 9995010, license state is located at Oregon. Benjamin Ward Beecher ATC physically located at 1651 Hillside Dr, Stroudsburg PA, 18360-2734. NPI Number Benjamin Ward Beecher ATC has the Individual type.

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1235412354 NPI number is provided on an as is basis without warranty of any kind. 1235412354 is maintained by the National Plan & Provider Enumeration System. The contents of Benjamin Ward Beecher ATC are for informational purposes only.