Beal, Ronald Justin

Beal, Ronald Justin is an sole proprietor health care provider with primary practice located at 445 Westridge Rd Suite 103, Somerset PA 15501-1148. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Beal, Ronald Justin can be contacted via phone (814) 444-9696.

Contact Information

Primary practice address
445 Westridge Rd Suite 103 Somerset PA 15501-1148
Phone: (814) 444-9696
Fax: (814) 444-0345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW012683 Pennsylvania
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CW012683 Pennsylvania
Behavioral Health & Social Service Providers / Counselor 101Y00000X CW012683 Pennsylvania

Profile Details

NPI number 1962590422
LBN Legal business name Beal, Ronald Justin
Credentials BCD LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Oct 18th, 2011 - about 15 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 1962590422 NPPES
Pennsylvania MEDICAID 101924967 0002
Pennsylvania MEDICAID 101155683
Pennsylvania MEDICAID 1019249670002
Pennsylvania MEDICAID 1011556830002
Pennsylvania Other 260606

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