Beach, Carol Deane

Beach, Carol Deane is an individual health care provider with primary practice located at 1367 W Harvard Ave , Roseburg OR 97470-2838. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Beach, Carol Deane can be contacted via phone (541) 672-8868.

Contact Information

Primary practice address
1367 W Harvard Ave Roseburg OR 97470-2838
Phone: (541) 672-8868
Fax: (541) 672-1142
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 20315 Oregon

Profile Details

NPI number 1831236686
LBN Legal business name Beach, Carol Deane
Credentials M.A., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jul 15th, 2008 - about 17 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 1831236686 NPPES
Oregon MEDICAID 228320

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