Beaumont, Alexa P

Beaumont, Alexa P is an individual health care provider with primary practice located at 3300 Poinsett Hwy , Greenville SC 29613-1864. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Beaumont, Alexa P can be contacted via phone (908) 343-9231.

Contact Information

Primary practice address
3300 Poinsett Hwy Greenville SC 29613-1864
Phone: (908) 343-9231
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT03299 South Carolina

Profile Details

NPI number 1144848540
LBN Legal business name Beaumont, Alexa P
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2020
Last updated Nov 2nd, 2022 - about 2 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 1144848540 NPPES
Other 2000050675 BOC CERTIFICATION NUMBER

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