Hearn, Bevin Elizabeth

Hearn, Bevin Elizabeth is an individual health care provider with primary practice located at 1025 Morehead Medical Dr Suite 300C, Charlotte NC 28204-2963. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Hearn, Bevin Elizabeth can be contacted via phone (704) 355-0607.

Contact Information

Primary practice address
1025 Morehead Medical Dr Suite 300C Charlotte NC 28204-2963
Phone: (704) 355-0607
Fax: (704) 302-8004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 2014-00577 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 240199 Massachusetts
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 263825 New York

Profile Details

NPI number 1770719015
LBN Legal business name Hearn, Bevin Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2009
Last updated Oct 7th, 2015 - 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 1770719015 NPPES
North Carolina Other 2014-00577 NC LICENSE
North Carolina MEDICAID NC2148 NC LICENSE
North Carolina MEDICAID 1770719015 NC LICENSE

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