King, Beverly Jo
King, Beverly Jo is an sole proprietor health care provider with primary practice located at 1001 S Bradford St Ste #8, Dover DE 19904-4153. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. King, Beverly Jo can be contacted via phone (302) 678-3480.Contact Information
Primary practice address
1001 S Bradford St Ste #8
Dover DE 19904-4153
Phone: (302) 678-3480
Fax: (302) 734-3299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Q1-0000659 | Delaware |
Profile Details
| NPI number | 1275663569 |
|---|---|
| LBN Legal business name | King, Beverly Jo |
| Credentials | LCSW, CADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1275663569 | NPPES |
| Delaware | MEDICAID | 1000035484 |
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