Beaver, Anthony John

Beaver, Anthony John is an individual health care provider with primary practice located at 12141 Brookhurst St Ste 201 , Garden Grove CA 92840-2865. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Beaver, Anthony John can be contacted via phone (657) 261-7140.

Contact Information

Primary practice address
12141 Brookhurst St Ste 201 Garden Grove CA 92840-2865
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X MPSS-BZAHOQ California

Profile Details

NPI number 1982365821
LBN Legal business name Beaver, Anthony John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2022
Last updated Jan 29th, 2024 - about 8 months 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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