Beezley, Alvin Ray

Beezley, Alvin Ray is an individual health care provider with primary practice located at 9692 Wolf Road , Caledonia MS 39740. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Beezley, Alvin Ray can be contacted via phone (662) 356-0324.

Contact Information

Primary practice address
9692 Wolf Road Caledonia MS 39740
Phone: (662) 356-0324
Fax: (662) 356-0322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 15421 Mississippi
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 15421 Mississippi

Profile Details

NPI number 1922056159
LBN Legal business name Beezley, Alvin Ray
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Mar 7th, 2023 - about 3 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 1922056159 NPPES
Mississippi MEDICAID 07757360
Mississippi Other 512I110141

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