Paige, Beverly J

Paige, Beverly J is an individual health care provider with primary practice located at 3600 Kolbe Rd Ste 203, Lorain OH 44053-1654. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Paige, Beverly J can be contacted via phone (440) 960-4522.

Contact Information

Primary practice address
3600 Kolbe Rd Ste 203 Lorain OH 44053-1654
Fax: (440) 960-4523
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35051012P Ohio

Profile Details

NPI number 1164498390
LBN Legal business name Paige, Beverly J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jan 9th, 2015 - about 9 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 1164498390 NPPES
Ohio MEDICAID 3025372
Ohio MEDICAID 0236248
Ohio MEDICAID 0819912

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