Beatty, Maxine Ruth
Beatty, Maxine Ruth is an individual health care provider with primary practice located at 1212 Lake James Dr Ste C, Virginia Beach VA 23464. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Beatty, Maxine Ruth can be contacted via phone (757) 523-4589.Contact Information
Primary practice address
1212 Lake James Dr Ste C
Virginia Beach VA 23464
Phone: (757) 523-4589
Fax: (757) 523-8920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101025142 | Virginia |
Profile Details
| NPI number | 1174580377 |
|---|---|
| LBN Legal business name | Beatty, Maxine Ruth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| 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 | 1174580377 | NPPES |
| Virginia | MEDICAID | 010107580 |
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