Provider Demographics
NPI:1801821301
Name:BEACOM, HELENA MARIA (DC)
Entity Type:Individual
Prefix:DR
First Name:HELENA
Middle Name:MARIA
Last Name:BEACOM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:923 E COLBY RD
Mailing Address - Street 2:BEACOM FAMILY CHIROPRACTIC
Mailing Address - City:WHITEHALL
Mailing Address - State:MI
Mailing Address - Zip Code:49461
Mailing Address - Country:US
Mailing Address - Phone:231-893-1744
Mailing Address - Fax:231-893-6637
Practice Address - Street 1:923 E COLBY RD
Practice Address - Street 2:BEACOM FAMILY CHIROPRACTIC
Practice Address - City:WHITEHALL
Practice Address - State:MI
Practice Address - Zip Code:49461
Practice Address - Country:US
Practice Address - Phone:231-893-1744
Practice Address - Fax:231-893-6637
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009184111N00000X
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL7232005OtherBCBS
MIOP25760002OtherMEDICARE