Beversdorf, Maureen G

Beversdorf, Maureen G is an sole proprietor health care provider with primary practice located at 131 Kercheval Ave Suite 110, Grosse Pointe Farms MI 48236-3629. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Beversdorf, Maureen G can be contacted via phone (313) 640-2591.

Contact Information

Primary practice address
131 Kercheval Ave Suite 110 Grosse Pointe Farms MI 48236-3629
Fax: (313) 640-2589
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 221507051552616 Michigan

Profile Details

NPI number 1508977091
LBN Legal business name Beversdorf, Maureen G
Credentials CPHT.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1508977091 NPPES
Michigan Other 221507051552616 PHARM CERTIFIED TECH

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