Provider / Organization | NPI | Date Certified |
---|---|---|
BEAU WEBB | 1861091241 | 2020-10-18 |
Beau Webb is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1861091241. Registration indicates Beau Webb is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
Entity Type | Individual |
Provider Name | Beau Webb PA-C |
Practice Office Address | 6017 CRUXTEN DR DAYTON, OH US |
Practice Office Telephone | 9378028571 |
Mailing Address | 6017 CRUXTEN DR DAYTON, OH 454243702 US |
Business Telephone | 9378028571 |
Code | Practice | License No State |
---|---|---|
363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 50.006639RX
OH |