Bean, James R

Bean, James R is an individual health care provider with primary practice located at 1013 Dunraven Ct , Conway SC 29527-3154. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bean, James R can be contacted via phone (843) 438-4876.

Contact Information

Primary practice address
1013 Dunraven Ct Conway SC 29527-3154
Phone: (843) 438-4876
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1104862788
LBN Legal business name Bean, James R
Credentials APA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Nov 24th, 2012 - about 12 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 1104862788 NPPES
Other 1008159 NCCPA

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