Beaver, Bonnie L

Beaver, Bonnie L is an individual health care provider with primary practice located at 1600 Medical Center Dr Suite 2500, Huntington WV 25701-3656. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is her primary health care specialty. Beaver, Bonnie L can be contacted via phone (304) 691-1200.

Contact Information

Primary practice address
1600 Medical Center Dr Suite 2500 Huntington WV 25701-3656
Phone: (304) 691-1200
Fax: (304) 691-1287
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 18092 West Virginia
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 18092 West Virginia

Profile Details

NPI number 1326008012
LBN Legal business name Beaver, Bonnie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Sep 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326008012 NPPES
Ohio MEDICAID 0495129
Ohio MEDICAID 0125333000
Ohio MEDICAID 64940505

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