Beavers, Lawrence Gene

Beavers, Lawrence Gene is an individual health care provider with primary practice located at 188 W Hebble Ave , Fairborn OH 45324-4960. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Beavers, Lawrence Gene can be contacted via phone (937) 971-2350.

Contact Information

Primary practice address
188 W Hebble Ave Fairborn OH 45324-4960
Phone: (937) 971-2350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X Ohio

Profile Details

NPI number 1649813254
LBN Legal business name Beavers, Lawrence Gene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2019
Last updated Aug 20th, 2021 - about 5 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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