Provider Demographics
NPI:1639940646
Name:BEANE FAMILY VENTURES INC.
Entity type:Organization
Organization Name:BEANE FAMILY VENTURES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:TERRY
Authorized Official - Last Name:BEANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-951-0466
Mailing Address - Street 1:31 BANGOR MALL BLVD
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-3612
Mailing Address - Country:US
Mailing Address - Phone:207-291-5714
Mailing Address - Fax:207-433-1246
Practice Address - Street 1:31 BANGOR MALL BLVD
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-3612
Practice Address - Country:US
Practice Address - Phone:207-291-5714
Practice Address - Fax:207-433-1246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy