Beavers, Tyra L

Beavers, Tyra L is an individual health care provider with primary practice located at 250 N Robertson Blvd Suite 516, Beverly Hills CA 90211-1788. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Beavers, Tyra L can be contacted via phone (310) 859-7696.

Contact Information

Primary practice address
250 N Robertson Blvd Suite 516 Beverly Hills CA 90211-1788
Fax: (310) 859-7699
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 23792 California
Chiropractic Providers / Chiropractor 111N00000X DC23792 California

Profile Details

NPI number 1336106889
LBN Legal business name Beavers, Tyra L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Apr 30th, 2019 - about 7 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 1336106889 NPPES
California Other DC23792 PRIVATE INSURANCE
California Other 200355585 PRIVATE INSURANCE

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