Beardsley, Joshua Jeremiah

Beardsley, Joshua Jeremiah is an individual health care provider with primary practice located at 200 S Herlong Ave Suite B, Rock Hill SC 29732-3399. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Beardsley, Joshua Jeremiah can be contacted via phone (803) 327-8500.

Contact Information

Primary practice address
200 S Herlong Ave Suite B Rock Hill SC 29732-3399
Phone: (803) 327-8500
Fax: (803) 327-8505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 103940 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA936 South Carolina

Profile Details

NPI number 1821097510
LBN Legal business name Beardsley, Joshua Jeremiah
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Jan 12th, 2016 - about 10 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 1821097510 NPPES
Other P00193752 RAILROAD MEDICARE

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