Provider Demographics
NPI:1013993765
Name:BEEBE, JAMES A (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:BEEBE
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 1:1014 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:MILLVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08332-2527
Mailing Address - Country:US
Mailing Address - Phone:856-327-0320
Mailing Address - Fax:856-825-4183
Practice Address - Street 1:1014 N HIGH ST
Practice Address - Street 2:
Practice Address - City:MILLVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08332-2527
Practice Address - Country:US
Practice Address - Phone:856-327-0320
Practice Address - Fax:856-825-4183
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-15
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC01572111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0541571OtherUS HEALTHCARE
NJNJ01572OtherLANDMARK
NJ0541571OtherAETNA
NJ1134457OtherHORIZON NJ HEALTH
NJ367770OtherKEYSTONE
NJMC01572OtherBLUE CROSS &BLUE SHIELD
NJ1521802Medicaid
NJ0106924000OtherAMERIHEALTH
NJ15041OtherUHP
NJP683058OtherOXFORD
NJ0106924000OtherAMERIHEALTH
NJ350040054Medicare UPIN
NJ1521802Medicaid