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Contact Information

JACQUES D. BEVERIDGE MD, INC.
1460 MAIN ST
SUITE B
LANDER, WY82520-2657
 Phone: 307-332-2223
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for JACQUES D BEVERIDGE MD INC · (Female)

NPI Number 1114057080
Status Active
Credentials
Entity Individual
Enumeration date 03/07/2007
Last updated 10/24/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • WY License # 6275A
  • WY License # 8746.0044
Hospital affiliation(s) Not Available
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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