Beavers, Michael

Beavers, Michael is an individual health care provider with primary practice located at 1053 Center Street Sc House Call Inc, West Columbia SC 29169. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Beavers, Michael can be contacted via phone (800) 491-0909.

Contact Information

Primary practice address
1053 Center Street Sc House Call Inc West Columbia SC 29169
Phone: (800) 491-0909
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22780 South Carolina

Profile Details

NPI number 1588225106
LBN Legal business name Beavers, Michael
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2019
Last updated Feb 13th, 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 1588225106 NPPES
South Carolina MEDICAID NP6238

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