Beavers, Austin

Beavers, Austin is an individual health care provider with primary practice located at 707 N Cardinal Dr , Mountain Home AR 72653-3253. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Beavers, Austin can be contacted via phone (870) 425-5644.

Contact Information

Primary practice address
707 N Cardinal Dr Mountain Home AR 72653-3253
Phone: (870) 425-5644
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1245603497
LBN Legal business name Beavers, Austin
Credentials QBHP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2015
Last updated Jul 2nd, 2020 - about 6 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 1245603497 NPPES
Arkansas MEDICAID 227364795

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