Beavers, Clarence Henry
Beavers, Clarence Henry is an individual health care provider with primary practice located at 207 E Meadow Rd Ste 1 , Eden NC 27288-3469. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Beavers, Clarence Henry can be contacted via phone (336) 627-3194.Contact Information
Primary practice address
207 E Meadow Rd Ste 1
Eden NC 27288-3469
Phone: (336) 627-3194
Fax: (336) 627-3208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 39543 | North Carolina |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 39543 | North Carolina |
Profile Details
| NPI number | 1871595082 |
|---|---|
| LBN Legal business name | Beavers, Clarence Henry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Aug 10th, 2023 - about 2 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 | 1871595082 | NPPES |
| North Carolina | Other | P00935587 | RAILROAD MEDICARE |
| North Carolina | Other | 2154554D | RAILROAD MEDICARE |
| North Carolina | MEDICAID | 1871595082 | RAILROAD MEDICARE |
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