Beverly, Richard Edwin

Beverly, Richard Edwin is an individual health care provider with primary practice located at 3719 Dauphin St , Mobile AL 36608-1753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Beverly, Richard Edwin can be contacted via phone (251) 460-5333.

Contact Information

Primary practice address
3719 Dauphin St Mobile AL 36608-1753
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 18891 Alabama

Profile Details

NPI number 1740236850
LBN Legal business name Beverly, Richard Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jan 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740236850 NPPES
Alabama MEDICAID 000024053559400060

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