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Contact Information

ADAM M BEAUBIEN, OD
2801 WILMA RUDOLPH BLVD
CLARKSVILLE, TN37040
 Phone: 931-553-8033
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ADAM M BEAUBIEN · (Male)

NPI Number 1417393224
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/20/2013
Last updated 07/13/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 3105
  • TN Medicaid 1417393224
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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