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Contact Information

JOHN T BEARUP, PA
908 TENTH AVE SW
QUINCY, WA98848
 Phone: 509-787-3503
 Fax: 509-787-1361
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JOHN T BEARUP · (Male)

NPI # 1003923269
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/24/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WA License # PA10001768
  • WA Medicaid 8348575
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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