Winter, Beverly Yvonne

Winter, Beverly Yvonne is an sole proprietor health care provider with primary practice located at 304 Circle St , Beckley WV 25801-3212. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Winter, Beverly Yvonne can be contacted via phone (304) 253-4641.

Contact Information

Primary practice address
304 Circle St Beckley WV 25801-3212
Phone: (304) 253-4641
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 487 West Virginia
Behavioral Health & Social Service Providers / School 103TS0200X 21016 West Virginia

Profile Details

NPI number 1215034467
LBN Legal business name Winter, Beverly Yvonne
Credentials ED.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215034467 NPPES
West Virginia MEDICAID 0165893000

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