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Contact Information

WILLIAM T BEASLEY, DPM
4602 SOUTHERN PKWY
LOUISVILLE, KY40214-1442
 Phone: 502-366-1479
 Fax: 502-366-6718
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for WILLIAM T BEASLEY · (Male)

NPI # 1336140482
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/10/2005
Last updated 02/04/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 07000339A
  • KY License # 126
  • IN Medicaid 100075860
  • KY Medicaid 80001266
  • KY Medicaid 90125568
  • Other 1054679 PASSPORT
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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