Beavers, William Jefferson
Beavers, William Jefferson is an individual health care provider with primary practice located at 2101 W Arlington Blvd Ste 210 , Greenville NC 27834-5758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Beavers, William Jefferson can be contacted via phone (252) 752-5000.Contact Information
Primary practice address
2101 W Arlington Blvd Ste 210
Greenville NC 27834-5758
Phone: (252) 752-5000
Fax: (252) 931-7694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 200200640 | North Carolina |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101038248 | Virginia |
Profile Details
| NPI number | 1376651547 |
|---|---|
| LBN Legal business name | Beavers, William Jefferson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Sep 8th, 2016 - about 8 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 | 1376651547 | NPPES |
| North Carolina | Other | 1367E | BCBS |
| North Carolina | MEDICAID | 891367E | BCBS |
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