Beasley, Charles R.

Beasley, Charles R. is an individual health care provider with primary practice located at 395 W 27Th St , Lumberton NC 28358-3018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Beasley, Charles R. can be contacted via phone (910) 739-7551.

Contact Information

Primary practice address
395 W 27Th St Lumberton NC 28358-3018
Phone: (910) 739-7551
Fax: (910) 738-3764
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28945 North Carolina

Profile Details

NPI number 1043217656
LBN Legal business name Beasley, Charles R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2005
Last updated Nov 5th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043217656 NPPES
North Carolina Other 14154 BCBS
North Carolina MEDICAID 8928375 BCBS

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