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Thomas Beach

Student in an Organized Health Care Education/Training Program in Columbus, OH. Individual provider (NPI-1).

NPI number1164034682
StatusActive
Last updated in NPPESAug 17, 2020

Details

NPI
1164034682
Entity type
Individual (NPI-1)
Name
Thomas Beach
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 17, 2020
Certification date
Aug 17, 2020
Last updated
Aug 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
2255A2300X Specialist/Technologist, Athletic Trainer––

Practice location

453 W 10th Ave
Columbus, OH 43210-2205

Phone 614-969-8392

Mailing address

1798 Quarry Vw
Columbus, OH 43204-4956

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