Beavers, Kristen Melissa
Beavers, Kristen Melissa is an individual health care provider with primary practice located at 890 E 116Th St 210, Carmel IN 46032-3475. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Beavers, Kristen Melissa can be contacted via phone (317) 575-8993.Contact Information
Primary practice address
890 E 116Th St 210
Carmel IN 46032-3475
Phone: (317) 575-8993
Fax: (317) 575-8987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 12010891A | Indiana |
Profile Details
| NPI number | 1255456778 |
|---|---|
| LBN Legal business name | Beavers, Kristen Melissa |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Aug 25th, 2015 - about 11 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 | 1255456778 | NPPES |
| Indiana | MEDICAID | 200836270A |
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