Provider Demographics
NPI:1417286188
Name:BEACHVIEW FAMILY HEALTH, LLC
Entity type:Organization
Organization Name:BEACHVIEW FAMILY HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:JOANNE
Authorized Official - Last Name:HATTIER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:302-537-8318
Mailing Address - Street 1:550 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:MILLVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19967-6709
Mailing Address - Country:US
Mailing Address - Phone:302-537-8318
Mailing Address - Fax:302-539-8736
Practice Address - Street 1:550 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:MILLVILLE
Practice Address - State:DE
Practice Address - Zip Code:19967-6709
Practice Address - Country:US
Practice Address - Phone:302-537-8318
Practice Address - Fax:302-539-8736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC20006548207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1326048OtherAETNA
MD75940001OtherCAREFIRST
DE8144955OtherUNITED HEALTHCARE
P00386934OtherPALMETTO GBA
491572OtherHIGHMARK MEDICARE
DE1326048OtherAETNA