Eaton, Beverly

Eaton, Beverly is an sole proprietor health care provider with primary practice located at 103 Brentwood Center Ln N , Wilson NC 27896-1710. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Eaton, Beverly can be contacted via phone (252) 293-9966.

Contact Information

Primary practice address
103 Brentwood Center Ln N Wilson NC 27896-1710
Phone: (252) 293-9966
Fax: (252) 293-9967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C003025 North Carolina

Profile Details

NPI number 1932205473
LBN Legal business name Eaton, Beverly
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Jul 9th, 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 1932205473 NPPES
North Carolina Other 0706F NC HEALTH CHOICE
North Carolina MEDICAID 6002010 NC HEALTH CHOICE
North Carolina Other 0706F NC HEALTH CHOICE
North Carolina Other 186590 NC HEALTH CHOICE
North Carolina Other 22143300 NC HEALTH CHOICE
North Carolina Other 0706F NC HEALTH CHOICE

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