Love, Beth L

Love, Beth L is an individual health care provider with primary practice located at Highway 264 Milepost 388 , Polacca AZ 86042-4000. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Love, Beth L can be contacted via phone (928) 737-6053.

Contact Information

Primary practice address
Highway 264 Milepost 388 Polacca AZ 86042-4000
Phone: (928) 737-6053
Fax: (928) 737-6200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 28142197A Indiana

Profile Details

NPI number 1659675775
LBN Legal business name Love, Beth L
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2011
Last updated Jan 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659675775 NPPES
Arizona MEDICAID 020529

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