NPI 1801467485

Caleb Jordan Beattie, IDC

Practitioner Independent Duty Corpsman Indian Head, MD

Practice location

Address: 3399 Strauss Ave STE 219, Indian Head, MD 20640-5164
Phone: (904) 718-1179

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1801467485
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jul 2021
Record last updated: 3 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.