Beavers, Michael Leland
Beavers, Michael Leland is an sole proprietor health care provider with primary practice located at 1502 Pemberton Dr Unit D , Salisbury MD 21801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Beavers, Michael Leland can be contacted via phone (410) 641-9450.Contact Information
Primary practice address
1502 Pemberton Dr Unit D
Salisbury MD 21801
Phone: (410) 641-9450
Fax: (410) 641-9515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207LA0401X | H0057008 | Maryland |
Profile Details
| NPI number | 1447240312 |
|---|---|
| LBN Legal business name | Beavers, Michael Leland |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Aug 1st, 2025 - about last year |
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 | 1447240312 | NPPES |
| Maryland | MEDICAID | 895000800 |
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