Brown, Beverly L
Brown, Beverly L is an individual health care provider with primary practice located at 3250 Gordonville Rd Ste 301 , Cape Girardeau MO 63703-5095. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brown, Beverly L can be contacted via phone (573) 334-9641.Contact Information
Primary practice address
3250 Gordonville Rd Ste 301
Cape Girardeau MO 63703-5095
Phone: (573) 334-9641
Fax: (573) 331-4130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD118288 | Missouri |
Profile Details
| NPI number | 1821026543 |
|---|---|
| LBN Legal business name | Brown, Beverly L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Jan 14th, 2021 - about 3 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 | 1821026543 | NPPES |
| Missouri | Other | 603530 | ANTHEM BLUE SHIELD |
| Missouri | MEDICAID | 203956701 | ANTHEM BLUE SHIELD |
| Missouri | MEDICAID | 1821026543 | ANTHEM BLUE SHIELD |
| Missouri | Other | 370014233 | ANTHEM BLUE SHIELD |
| Missouri | Other | 411453 | ANTHEM BLUE SHIELD |
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