Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter | C50155 | MD |
NPI | 1811125156 |
---|---|
Provider Name | Mr. Chris Allen Beggs |
First Address | Paducah, KY 42003-7913 |
Second Address | Paducah, KY 42003-7913 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2009 |
Last Update Date | 26/10/2012 |