Beasley, Michael A
Beasley, Michael A is an individual health care provider with primary practice located at 606 Black River Rd , Georgetown SC 29440-3304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Beasley, Michael A can be contacted via phone (843) 527-7000.Contact Information
Primary practice address
606 Black River Rd
Georgetown SC 29440-3304
Phone: (843) 527-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | T6002 | South Carolina |
Profile Details
| NPI number | 1477554830 |
|---|---|
| LBN Legal business name | Beasley, Michael A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477554830 | NPPES |
| South Carolina | MEDICAID | 006923 |
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