Beaver, Richard

Beaver, Richard is an individual health care provider with primary practice located at 275 Hospital Pkwy Suite 470, San Jose CA 95119-1106. He recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as his primary health care specialty. Beaver, Richard can be contacted via phone (408) 972-3364.

Contact Information

Primary practice address
275 Hospital Pkwy Suite 470 San Jose CA 95119-1106
Phone: (408) 972-3364
Fax: (408) 972-6088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X 20328 California
Behavioral Health & Social Service Providers / Health Service 103TH0100X 1565 Colorado

Profile Details

NPI number 1487673596
LBN Legal business name Beaver, Richard
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487673596 NPPES
California MEDICAID 07015654

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