Beauchamp, Vivian Orlynne
Beauchamp, Vivian Orlynne is an individual health care provider with primary practice located at 800 N Fant St , Anderson SC 29621-5708. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Beauchamp, Vivian Orlynne can be contacted via phone (864) 512-1196.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1986 | South Carolina |
Profile Details
| NPI number | 1104004944 |
|---|---|
| LBN Legal business name | Beauchamp, Vivian Orlynne |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 4th, 2008 |
| Last updated | Feb 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104004944 | NPPES |
| South Carolina | MEDICAID | TH0360 |
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