Beaver, Kathleen
Beaver, Kathleen is an individual health care provider with primary practice located at 190 W Sproul Rd Crozer - Springfield Division, Springfield PA 19064-2027. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Beaver, Kathleen can be contacted via phone (610) 328-8700.Contact Information
Primary practice address
190 W Sproul Rd Crozer - Springfield Division
Springfield PA 19064-2027
Phone: (610) 328-8700
Fax: (610) 617-6280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD029171 | Pennsylvania |
Profile Details
| NPI number | 1336194372 |
|---|---|
| LBN Legal business name | Beaver, Kathleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1336194372 | NPPES |
| Pennsylvania | MEDICAID | 1134359 |
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