Beall, Stephen A
Beall, Stephen A is an sole proprietor health care provider with primary practice located at 3001 N Ashley St , Valdosta GA 31602-1709. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Beall, Stephen A can be contacted via phone (229) 247-8484.Contact Information
Primary practice address
3001 N Ashley St
Valdosta GA 31602-1709
Phone: (229) 247-8484
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | LDO000598 | Georgia |
Profile Details
| NPI number | 1720576366 |
|---|---|
| LBN Legal business name | Beall, Stephen A |
| Credentials | LDO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 30th, 2018 |
| Last updated | Apr 30th, 2018 - about 6 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 | 1720576366 | NPPES |
| Georgia | Other | 1366429599 | CORPORATION NPI |
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