Beaver, Byron Kevin
Beaver, Byron Kevin is an individual health care provider with primary practice located at 3333 Springhill Dr Suite 2002, North Little Rock AR 72117-2922. He recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as his primary health care specialty. Beaver, Byron Kevin can be contacted via phone (501) 202-3638.Contact Information
Primary practice address
3333 Springhill Dr Suite 2002
North Little Rock AR 72117-2922
Phone: (501) 202-3638
Fax: (501) 202-3639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 207PE0005X | L6781 | Texas |
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 207PE0005X | E-6065 | Arkansas |
Profile Details
| NPI number | 1982688800 |
|---|---|
| LBN Legal business name | Beaver, Byron Kevin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Aug 3rd, 2011 - 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 | 1982688800 | NPPES |
| Texas | MEDICAID | 160896002 | |
| Texas | Other | 8AJ534 | |
| Texas | MEDICAID | 179030001 | |
| Texas | Other | P00094736 |
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