Beal, Ronald Justin
Beal, Ronald Justin is an sole proprietor health care provider with primary practice located at 445 Westridge Rd Suite 103, Somerset PA 15501-1148. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Beal, Ronald Justin can be contacted via phone (814) 444-9696.Contact Information
Primary practice address
445 Westridge Rd Suite 103
Somerset PA 15501-1148
Phone: (814) 444-9696
Fax: (814) 444-0345
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW012683 | Pennsylvania |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CW012683 | Pennsylvania |
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | CW012683 | Pennsylvania |
Profile Details
NPI number | 1962590422 |
---|---|
LBN Legal business name | Beal, Ronald Justin |
Credentials | BCD LCSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 10th, 2006 |
Last updated | Oct 18th, 2011 - about 14 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 | 1962590422 | NPPES |
Pennsylvania | MEDICAID | 101924967 0002 | |
Pennsylvania | MEDICAID | 101155683 | |
Pennsylvania | MEDICAID | 1019249670002 | |
Pennsylvania | MEDICAID | 1011556830002 | |
Pennsylvania | Other | 260606 |
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