Nina R Beckwell
Sports Medicine Doctor
321 W Main St
Grangeville
, Idaho 83530-1917
Nina R Beckwell
Sports Medicine Doctor
321 W Main St
Grangeville
, Idaho 83530-1917
(630) 605-9616
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Nina R Beckwell
- 1432 Highway 13
- Grangeville, ID
- Zip : 83530-5006
- Phone : (630) 605-9616
Second Address
- Nina R Beckwell
- 321 W Main St
- Grangeville, ID
- Zip : 83530-1917
- Phone : (630) 605-9616
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | MASH-2190 | ID |
National Provider Identifier
| NPI | 1447773023 |
|---|---|
| Provider Name | Nina R Beckwell |
| First Address | Grangeville, ID 83530-5006 |
| Second Address | Grangeville, ID 83530-1917 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2017 |
| Last Update Date | 25/07/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0 | NA (01) | |
| 0 | UNKNOWN (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.