Rhylee N Beshears

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Gary, IN

NPI 1215569108 · NPPES record last updated Feb 11, 2020

Key facts

NPI
1215569108
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
9233 Oak Ave
Gary, IN 46403-1613
Phone
(219) 455-9287
NPI assigned
Feb 7, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes
Athletic Trainer 2255A2300X IN

Addresses

Primary practice location

9233 Oak Ave
Gary, IN 46403-1613

Mailing address

9233 Oak Ave
Gary, IN 46403-1613

Other identifiers

IdentifierTypeStateIssuer
CNA1803354OtherINCNA

Other providers in Gary, IN

All providers in Gary, IN · Student in an Organized Health Care Education/Training Program in Indiana

Sources for this page

Verify at the official NPI Registry.