Keith, Beverly Marie

Keith, Beverly Marie is an sole proprietor health care provider with primary practice located at 100 Blassingame Rd , Greenville SC 29605-3304. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Keith, Beverly Marie can be contacted via phone (864) 355-1600.

Contact Information

Primary practice address
100 Blassingame Rd Greenville SC 29605-3304
Phone: (864) 355-1600
Fax: (864) 355-1625
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X P8482 South Carolina

Profile Details

NPI number 1104168830
LBN Legal business name Keith, Beverly Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2013
Last updated Mar 20th, 2013 - about 11 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 1104168830 NPPES
South Carolina Other 8435 EMPLOYEE ID

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