Beatty, Gloria
Beatty, Gloria is an sole proprietor health care provider with primary practice located at 1950 Clove Rd Apt 636 , Staten Island NY 10304-1642. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Beatty, Gloria can be contacted via phone (917) 862-5215.Contact Information
Primary practice address
1950 Clove Rd Apt 636
Staten Island NY 10304-1642
Phone: (917) 862-5215
Fax: (718) 347-4643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 125288-1 | New York |
Profile Details
| NPI number | 1306066675 |
|---|---|
| LBN Legal business name | Beatty, Gloria |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2007 |
| Last updated | Jul 9th, 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 | 1306066675 | NPPES |
| New York | MEDICAID | 02852142 |
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