Provider Demographics
NPI:1922217595
Name:BEAS ENTERPRISES, INC
Entity Type:Organization
Organization Name:BEAS ENTERPRISES, INC
Other - Org Name:FOOT SOLUTIONS - SURPRISE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:BEAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-584-1618
Mailing Address - Street 1:13980 W BELL RD STE 7
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-3800
Mailing Address - Country:US
Mailing Address - Phone:623-584-1618
Mailing Address - Fax:623-584-1627
Practice Address - Street 1:13980 W BELL RD STE 7
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-3800
Practice Address - Country:US
Practice Address - Phone:623-584-1618
Practice Address - Fax:623-584-1627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ6006660001Medicare NSC