| John L Bean Do Inc | |
|
1132 W Kansas St Liberty MO 64068 | |
| (816) 781-7511 | |
| (816) 781-3881 |
| Full Name | John L Bean Do Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1132 W Kansas St, Liberty, Missouri |
| Authorized Official Name and Position | John Louis Bean (PRESIDENT) |
| Authorized Official Contact | 8167817511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John L Bean Do Inc 1132 W Kansas St Liberty MO 64068 Ph: (816) 781-7511 | John L Bean Do Inc 1132 W Kansas St Liberty MO 64068 Ph: (816) 781-7511 |
| NPI Number | 1841213006 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841213006 | NPI | - | NPPES |
| 05004031 | Other | BLUE CROSS BLUE SHIELD | |
| 0108237 | Other | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R6851 (Missouri) | Primary |
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