Beachley, Bonnie J

Beachley, Bonnie J is an individual health care provider with primary practice located at 13114 Pennsylvania Ave , Hagerstown MD 21742-2741. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Beachley, Bonnie J can be contacted via phone (240) 313-2163.

Contact Information

Primary practice address
13114 Pennsylvania Ave Hagerstown MD 21742-2741
Phone: (240) 313-2163
Fax: (301) 791-2252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X AC0470 Maryland

Profile Details

NPI number 1770759417
LBN Legal business name Beachley, Bonnie J
Credentials MBA,CAC-AD
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2008
Last updated May 2nd, 2008 - 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 1770759417 NPPES
Maryland Other AC0470 ADDICTIONS COUNSELOR

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