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Contact Information

BRANDON BEAUCHAMP, DO
1825 LOGAN AVE
WATERLOO, IA50703-1916
 Phone: 319-235-3941
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for BRANDON BEAUCHAMP · (Male)

NPI # 1982637112
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/09/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 3787
  • OH License # 34-08646
Hospital affiliation(s)
  • GREAT RIVER MEDICAL CENTER - (Acute Care)
    1221 SOUTH GEAR AVENUE
    WEST BURLINGTON, IA 52655
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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