London, Beverly Minolta

London, Beverly Minolta is an individual health care provider with primary practice located at 1701 Curtis Rd , Champaign IL 61822-9678. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. London, Beverly Minolta can be contacted via phone (217) 365-6208.

Contact Information

Primary practice address
1701 Curtis Rd Champaign IL 61822-9678
Phone: (217) 365-6208
Fax: (217) 326-1234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036142720 Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME0073682 Florida

Profile Details

NPI number 1366426033
LBN Legal business name London, Beverly Minolta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Jul 21st, 2022 - about 2 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 1366426033 NPPES
Florida MEDICAID 252618200

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