Beveridge, Clay E

Beveridge, Clay E is an individual health care provider with primary practice located at 8260 Atlee Rd , Mechanicsville VA 23116-1844. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Beveridge, Clay E can be contacted via phone (843) 237-3378.

Contact Information

Primary practice address
8260 Atlee Rd Mechanicsville VA 23116-1844
Fax: (843) 237-5073
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101056135 Virginia

Profile Details

NPI number 1407807431
LBN Legal business name Beveridge, Clay E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Mar 17th, 2009 - about 15 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 1407807431 NPPES
Virginia Other P00309631 RAILROAD MEDICARE
Virginia MEDICAID 010252083 RAILROAD MEDICARE
Virginia MEDICAID 010252091 RAILROAD MEDICARE

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