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
Phone: (864) 855-5104
Fax: (864) 859-9362
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093741266 | NPPES |
South Carolina | MEDICAID | 126054 |
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