Beadle, Beverly Ann
Beadle, Beverly Ann is an individual health care provider with primary practice located at 10001 Lile Dr , Little Rock AR 72205-6217. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Beadle, Beverly Ann can be contacted via phone (501) 227-8000.Contact Information
Primary practice address
10001 Lile Dr
Little Rock AR 72205-6217
Phone: (501) 227-8000
Fax: (501) 227-7362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | C6789 | Arkansas |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | C6789 | Arkansas |
Profile Details
| NPI number | 1437181815 |
|---|---|
| LBN Legal business name | Beadle, Beverly Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Apr 17th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437181815 | NPPES |
| Arkansas | Other | 686591 | MEDICARE |
| Arkansas | MEDICAID | 111802001104307002 | MEDICARE |
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