Beasley, Kerry A
Beasley, Kerry A is an individual health care provider with primary practice located at 77 W Forest Ave Ste 212 , Flagstaff AZ 86001-1481. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Beasley, Kerry A can be contacted via phone (928) 773-2222.Contact Information
Primary practice address
77 W Forest Ave Ste 212
Flagstaff AZ 86001-1481
Phone: (928) 773-2222
Fax: (928) 773-2287
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | DA10277 | Arizona |
Profile Details
| NPI number | 1053853945 |
|---|---|
| LBN Legal business name | Beasley, Kerry A |
| Credentials | AU.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2016 |
| Last updated | Oct 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053853945 | NPPES |
| Arizona | Other | Z196468 | MEDICARE |
| Arizona | Other | 1053853945 | MEDICARE |
| Arizona | Other | 1053853945 | MEDICARE |
| Arizona | Other | 1053853945 | MEDICARE |
| Arizona | Other | 1053853945 | MEDICARE |
| Arizona | MEDICAID | 213468 | MEDICARE |
| Arizona | Other | 1053853945 | MEDICARE |
| Arizona | Other | 1053853945 | MEDICARE |
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