Beard, John Mason

Beard, John Mason is an sole proprietor health care provider with primary practice located at 121 Arcadia Park Drive , Canton GA 30114-4579. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Beard, John Mason can be contacted via phone (678) 493-6836.

Contact Information

Primary practice address
121 Arcadia Park Drive Canton GA 30114-4579
Phone: (678) 493-6836
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT002325 Georgia

Profile Details

NPI number 1922204114
LBN Legal business name Beard, John Mason
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2007
Last updated Jul 8th, 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 1922204114 NPPES
Georgia Other OT002325 STATE OT LICENSE

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