Provider Demographics
NPI:1699795526
Name:NATALIE BEYELER, D.O.
Entity type:Organization
Organization Name:NATALIE BEYELER, D.O.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEYELER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:907-745-3780
Mailing Address - Street 1:6921 E GARTH CIR STE A
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-5922
Mailing Address - Country:US
Mailing Address - Phone:907-745-3780
Mailing Address - Fax:907-745-3780
Practice Address - Street 1:6921 E GARTH CIR STE A
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-5922
Practice Address - Country:US
Practice Address - Phone:907-745-3770
Practice Address - Fax:907-745-3780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2344174400000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
110228098OtherRRMEDICARE
AKMD2344Medicaid
AKMD2344Medicaid