Beaver, Jason D.

Beaver, Jason D. is an sole proprietor health care provider with primary practice located at 2800 Ross Clark Cir Ste 2 , Dothan AL 36301-9917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Beaver, Jason D. can be contacted via phone (334) 305-1848.

Contact Information

Primary practice address
2800 Ross Clark Cir Ste 2 Dothan AL 36301-9917
Phone: (334) 305-1848
Fax: (334) 305-1849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 21102 Alabama

Profile Details

NPI number 1740285931
LBN Legal business name Beaver, Jason D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2005
Last updated Mar 31st, 2022 - about 3 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 1740285931 NPPES
Alabama Other 051518010 AL BCBS # FOR OFFICE #1
Alabama Other 051518009 AL BCBS # FOR OFFICE #1
Alabama MEDICAID 009936495 AL BCBS # FOR OFFICE #1
Alabama MEDICAID 131066 AL BCBS # FOR OFFICE #1

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