Beasley, Patricia K

Beasley, Patricia K is an sole proprietor health care provider with primary practice located at 5270 Six Forks Rd , Raleigh NC 27609-4432. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Beasley, Patricia K can be contacted via phone (919) 782-4181.

Contact Information

Primary practice address
5270 Six Forks Rd Raleigh NC 27609-4432
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X L000937 North Carolina

Profile Details

NPI number 1275677742
LBN Legal business name Beasley, Patricia K
Credentials MS, RD, LDN, CCN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2007
Last updated Jul 8th, 2007 - about 18 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 1275677742 NPPES
North Carolina Other 144CC BCBSNC PROVIDER #

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