Close, Beverly A

Close, Beverly A is an individual health care provider with primary practice located at Elm And Carlton St , Buffalo NY 14263-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Close, Beverly A can be contacted via phone (716) 845-2300.

Contact Information

Primary practice address
Elm And Carlton St Buffalo NY 14263-0001
Phone: (716) 845-2300
Fax: (716) 845-1110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 009385 New York

Profile Details

NPI number 1932174729
LBN Legal business name Close, Beverly A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jul 8th, 2019 - about 6 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 1932174729 NPPES
New York MEDICAID 02507239

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