Beezley, Alvin Ray
Beezley, Alvin Ray is an individual health care provider with primary practice located at 9692 Wolf Road , Caledonia MS 39740. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Beezley, Alvin Ray can be contacted via phone (662) 356-0324.Contact Information
Primary practice address
9692 Wolf Road
Caledonia MS 39740
Phone: (662) 356-0324
Fax: (662) 356-0322
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 15421 | Mississippi |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 15421 | Mississippi |
Profile Details
NPI number | 1922056159 |
---|---|
LBN Legal business name | Beezley, Alvin Ray |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2006 |
Last updated | Mar 7th, 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 | 1922056159 | NPPES |
Mississippi | MEDICAID | 07757360 | |
Mississippi | Other | 512I110141 |
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