Gore, Beverly
Gore, Beverly is an individual health care provider with primary practice located at 307 W Cornelius Harnett Blvd , Lillington NC 27546-9335. She recently has 5 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Gore, Beverly can be contacted via phone (910) 814-6240.Contact Information
Primary practice address
307 W Cornelius Harnett Blvd
Lillington NC 27546-9335
Phone: (910) 814-6240
Fax: (910) 893-9429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | ||
| Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | ||
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | ||
| Dietary & Nutritional Service Providers / Nutrition, Pediatric | 133VN1004X | ||
| Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X |
Profile Details
| NPI number | 1497046601 |
|---|---|
| LBN Legal business name | Gore, Beverly |
| Credentials | RD, LDN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2011 |
| Last updated | Apr 21st, 2011 - about 14 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 | 1497046601 | NPPES |
| North Carolina | MEDICAID | NC3404343 | |
| North Carolina | Other | 07212 | |
| North Carolina | Other | 155383938 | |
| North Carolina | Other | 183296 | |
| North Carolina | Other | 34D0864770 |
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