Carl, Beverly A

Carl, Beverly A is an individual health care provider with primary practice located at 500 Market St Suite 202, Beaver PA 15009-2998. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Carl, Beverly A can be contacted via phone (724) 728-8840.

Contact Information

Primary practice address
500 Market St Suite 202 Beaver PA 15009-2998
Phone: (724) 728-8840
Fax: (724) 728-8308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD024971E Pennsylvania

Profile Details

NPI number 1336135532
LBN Legal business name Carl, Beverly A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Sep 17th, 2014 - about 10 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 1336135532 NPPES
Pennsylvania MEDICAID 0010526470001

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