Beavers, Leah G
Beavers, Leah G is an sole proprietor health care provider with primary practice located at 619 W Chatham St , Apex NC 27502-1415. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Beavers, Leah G can be contacted via phone (919) 362-0967.Contact Information
Primary practice address
619 W Chatham St
Apex NC 27502-1415
Phone: (919) 362-0967
Fax: (919) 355-1551
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 5601 | Louisiana |
Profile Details
NPI number | 1124080973 |
---|---|
LBN Legal business name | Beavers, Leah G |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 6th, 2006 |
Last updated | May 21st, 2008 - 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 | 1124080973 | NPPES |
Other | 1651885 | UNITED CONCORDIA | |
MEDICAID | 1856011 | UNITED CONCORDIA |
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