Beasley, Virginia

Beasley, Virginia is an individual health care provider with primary practice located at 201 W A Ave , Easley SC 29640-2051. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Beasley, Virginia can be contacted via phone (864) 855-5104.

Contact Information

Primary practice address
201 W A Ave Easley SC 29640-2051
Fax: (864) 859-9362
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12605 South Carolina

Profile Details

NPI number 1093741266
LBN Legal business name Beasley, Virginia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Feb 10th, 2010 - about 15 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 1093741266 NPPES
South Carolina MEDICAID 126054

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