Beach, Annie

Beach, Annie is an sole proprietor health care provider with primary practice located at 22314 Raven Cir , Lincoln DE 19960-4027. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Beach, Annie can be contacted via phone (302) 573-1247.

Contact Information

Primary practice address
22314 Raven Cir Lincoln DE 19960-4027
Phone: (302) 573-1247
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X

Profile Details

NPI number 1063011641
LBN Legal business name Beach, Annie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2020
Last updated Oct 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063011641 NPPES
Delaware MEDICAID 000000543

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