Beasley, Horace E

Beasley, Horace E is an individual health care provider with primary practice located at 157 Corley Mill Rd , Lexington SC 29072-7600. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Beasley, Horace E can be contacted via phone (803) 256-7041.

Contact Information

Primary practice address
157 Corley Mill Rd Lexington SC 29072-7600
Phone: (803) 256-7041
Fax: (803) 799-4624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 859 South Carolina

Profile Details

NPI number 1417990672
LBN Legal business name Beasley, Horace E
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Sep 26th, 2008 - about 17 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 1417990672 NPPES
South Carolina Other GP4644 MEDICAID PTAN
South Carolina MEDICAID SA0817 MEDICAID PTAN

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