Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD35201 | TN |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 35.089259 | OH |
NPI | 1013948058 |
---|---|
Provider Name | David Beeks |
First Address | Oregon, OH 43616-3223 |
Second Address | Oregon, OH 43616-3223 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 21/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2723628 | (05) | OH |
H39141 | (02) |