Provider Demographics
NPI:1992843221
Name:BEATO, LOUIS R (DC)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:R
Last Name:BEATO
Suffix:
Gender:M
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:PO BOX 3178
Mailing Address - Street 2:
Mailing Address - City:MERCERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-0178
Mailing Address - Country:US
Mailing Address - Phone:609-586-1500
Mailing Address - Fax:609-838-9588
Practice Address - Street 1:2312 WHITEHORSE MERCERVILLE RD
Practice Address - Street 2:SUITE 108
Practice Address - City:MERCERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08619-1953
Practice Address - Country:US
Practice Address - Phone:609-586-1500
Practice Address - Fax:609-838-9588
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC04519111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0769951000OtherINDEPENDENCE BLUE CROSS
NJ3505636OtherAETNA
NJ60031584OtherHORIZON NJ HEALTH
NJ2302274000OtherAMERIHEALTH HMO
NJ8040206Medicaid
NJ1625752OtherAMERIHEALTH
NJ20105217700OtherHORIZON
NJ7284399OtherCIGNA
NJP00288326OtherRR MEDICARE
NJ613313900OtherACS PROVIDER
NJ083196Medicare PIN