Provider Demographics
NPI:1457577652
Name:BETE, JOHN MORRIS JR (DO)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MORRIS
Last Name:BETE
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 NORTH ST
Mailing Address - Street 2:NEUROSURGEONS OF CAPE COD
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-3845
Mailing Address - Country:US
Mailing Address - Phone:508-771-0006
Mailing Address - Fax:
Practice Address - Street 1:46 NORTH ST
Practice Address - Street 2:NEUROSURGEONS OF CAPE COD
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-3845
Practice Address - Country:US
Practice Address - Phone:508-771-0006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101017050208100000X
MA249755208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA5873250OtherAETNA
MA0025030OtherMEDICARE