Mcneil, Beverly Lavon

Mcneil, Beverly Lavon is an individual health care provider with primary practice located at 530 Bogachiel Way , Forks WA 98331-9120. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mcneil, Beverly Lavon can be contacted via phone (360) 374-6271.

Contact Information

Primary practice address
530 Bogachiel Way Forks WA 98331-9120
Phone: (360) 374-6271
Fax: (360) 374-6238
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004657 Washington

Profile Details

NPI number 1255470100
LBN Legal business name Mcneil, Beverly Lavon
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jun 15th, 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 1255470100 NPPES
Washington Other 2334MC REGENCE
Washington MEDICAID 8389975 REGENCE
Washington Other 0188321 REGENCE

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