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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.

NPI # 1114057080
LBN Legal business name JACQUES D. BEVERIDGE MD, INC.
Authorized official FREDERICK ZEBROSKI - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2007
Last updated 10/24/2007 - About 19 years ago
Identifiers
WY License # 6275A
WY License # 8746.0044
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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