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
Fax: (919) 355-1551
Website:

Health care specialties

SpecialtyCodeLicense #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 16 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 1124080973 NPPES
Other 1651885 UNITED CONCORDIA
MEDICAID 1856011 UNITED CONCORDIA

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