Provider Demographics
NPI:1790435170
Name:BEEKMAN, NOAH
Entity Type:Individual
Prefix:
First Name:NOAH
Middle Name:
Last Name:BEEKMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2564 TELLURIDE CIR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-8966
Mailing Address - Country:US
Mailing Address - Phone:712-635-1534
Mailing Address - Fax:
Practice Address - Street 1:2564 TELLURIDE CIR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-8966
Practice Address - Country:US
Practice Address - Phone:712-635-1534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer