Wood, Beverly J
Wood, Beverly J is an individual health care provider with primary practice located at 61 Barra Road , Biddeford ME 04005. 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. Wood, Beverly J can be contacted via phone (207) 283-1441.Contact Information
Primary practice address
61 Barra Road
Biddeford ME 04005
Phone: (207) 283-1441
Fax: (207) 523-1136
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA1080 | Maine |
Profile Details
NPI number | 1922071349 |
---|---|
LBN Legal business name | Wood, Beverly J |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 8th, 2006 |
Last updated | Sep 22nd, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922071349 | NPPES |
Maine | MEDICAID | 432490199 |
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