| Doctor Name: | DR. JIL A BEAUPAIN |
| NPI Number: | 1427116300 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.M. |
| License Number: | SC003477L |
| Business Practice Address: | 22 North St Houlton, ME - 047301833 |
| Business Phone Number: | 2075329790 |
| Business Fax Number: | 2075326550 |
| Mailing Address: | Po Box 130, SHERMAN |
| State: | ME |
| Postal Code: | 047760130 |
| Phone Number: | 2075329790 |
| Fax Number: | 2075326550 |
| NPI Enumeration Date: | 12/04/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | SC003477L |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |