Broadwell, Beverly R

Broadwell, Beverly R is an individual health care provider with primary practice located at 1921 Concord Lake Road , Kannapolis NC 28083. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Broadwell, Beverly R can be contacted via phone (704) 723-9252.

Contact Information

Primary practice address
1921 Concord Lake Road Kannapolis NC 28083
Fax: (704) 793-4531
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6754 North Carolina

Profile Details

NPI number 1982717781
LBN Legal business name Broadwell, Beverly R
Credentials DDS PLLC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jul 8th, 2007 - about 18 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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