institution
Michael E Beatty, M.d., P.c.
Specialist in Edwardsville, Illinois
NPI 1881759991

Michael E Beatty, M.d., P.c. is a Specialist based in Edwardsville, IL. Michael E Beatty, M.d., P.c. practices in Edwardsville, IL. The NPI Number for Michael E Beatty, M.d., P.c. is 1881759991 and holds a License No. (Illinois).

The current practice location address for Michael E Beatty, M.d., P.c. is 2 Sunset Hills Professional Ctr, Edwardsville, IL and can be reached out via phone at 618-656-9355 and via fax at 618-692-9880.

Location: 2 Sunset Hills Professional Ctr, Edwardsville, IL, 62025-3760
institution
Provider Profile Details
NPI Number
1881759991
Provider Name
Michael E Beatty, M.d., P.c.
Credential
Provider Entity Type
Organization
Address
2 Sunset Hills Professional Ctr, Edwardsville, IL, 62025-3760
Phone Number
618-656-9355
Fax Number
618-692-9880
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
962560 01 IL OLD MEDICARE PTAN #
institution
Provider Business Practice Location Address Details
Address
2 Sunset Hills Professional Ctr
City
State
Zip
62025-3760
Phone Number
618-656-9355
Fax Number
618-692-9880
person
Provider Business Mailing Address Details
Address
2 Sunset Hills Professional Ctr
City
State
Zip
62025-3760
Phone Number
618-656-9355
Fax Number
618-692-9880
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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