Beaver, Jessica Rose
Beaver, Jessica Rose is an individual health care provider with primary practice located at 697 Louisiana Rd Bldg 9201 , Dyess Afb TX 79607-1141. She recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as her primary health care specialty. Beaver, Jessica Rose can be contacted via phone (325) 696-6603.Contact Information
Primary practice address
697 Louisiana Rd Bldg 9201
Dyess Afb TX 79607-1141
Phone: (325) 696-6603
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Medical Technicians | 1710I1003X |
Profile Details
| NPI number | 1154994838 |
|---|---|
| LBN Legal business name | Beaver, Jessica Rose |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2021 |
| Last updated | Sep 6th, 2023 - about last year |
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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