Beard, Obie
Beard, Obie is an individual health care provider with primary practice located at 3575 Highway 138 , Toone TN 38381-8077. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Beard, Obie can be contacted via phone (731) 402-1078.Contact Information
Primary practice address
3575 Highway 138
Toone TN 38381-8077
Phone: (731) 402-1078
Fax: (731) 658-4134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 70304 | Tennessee |
| Other Service Providers / Contractor | 171W00000X | ||
| Other Service Providers / Contractor | 171W00000X | Tennessee |
Profile Details
| NPI number | 1336490028 |
|---|---|
| LBN Legal business name | Beard, Obie |
| Credentials | PEST CONTROL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2012 |
| Last updated | Sep 21st, 2012 - about 14 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 | 1336490028 | NPPES |
| Tennessee | MEDICAID | A55121 |
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