Beauvilet, Jeremiah

Beauvilet, Jeremiah is an sole proprietor health care provider with primary practice located at 519 Lake Vista Cir Apt I , Cockeysville MD 21030-5250. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Beauvilet, Jeremiah can be contacted via phone (845) 414-4632.

Contact Information

Primary practice address
519 Lake Vista Cir Apt I Cockeysville MD 21030-5250
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1063047827
LBN Legal business name Beauvilet, Jeremiah
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2020
Last updated Mar 11th, 2020 - about 4 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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