Beaver, James E

Beaver, James E is an individual health care provider with primary practice located at 134 Medical Pl , Beaver WV 25813-8977. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Beaver, James E can be contacted via phone (304) 255-1080.

Contact Information

Primary practice address
134 Medical Pl Beaver WV 25813-8977
Fax: (304) 255-1082
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 779 West Virginia

Profile Details

NPI number 1659364735
LBN Legal business name Beaver, James E
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Feb 3rd, 2010 - about 14 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 1659364735 NPPES
West Virginia MEDICAID 0034323000

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