Beavers, Michael Leland

Beavers, Michael Leland is an sole proprietor health care provider with primary practice located at 1502 Pemberton Dr Unit D , Salisbury MD 21801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Beavers, Michael Leland can be contacted via phone (410) 641-9450.

Contact Information

Primary practice address
1502 Pemberton Dr Unit D Salisbury MD 21801
Fax: (410) 641-9515
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X H0057008 Maryland

Profile Details

NPI number 1447240312
LBN Legal business name Beavers, Michael Leland
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2005
Last updated May 2nd, 2024 - about last year

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 1447240312 NPPES
Maryland MEDICAID 895000800

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