Beaumont, Shelley

Beaumont, Shelley is an individual health care provider with primary practice located at 106 S Perry St , Watkins Glen NY 14891-1615. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Beaumont, Shelley can be contacted via phone (607) 535-8282.

Contact Information

Primary practice address
106 S Perry St Watkins Glen NY 14891-1615
Phone: (607) 535-8282
Fax: (607) 535-8284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 583610 New York

Profile Details

NPI number 1871994392
LBN Legal business name Beaumont, Shelley
Credentials RPN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2014
Last updated Sep 16th, 2014 - about 12 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 1871994392 NPPES
New York MEDICAID 583610

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