Beverly, Clinton Steven

Beverly, Clinton Steven is an individual health care provider with primary practice located at 1906 Thomson Drive Central Virginia Surgery, Lynchburg VA 24501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Beverly, Clinton Steven can be contacted via phone (434) 947-3933.

Contact Information

Primary practice address
1906 Thomson Drive Central Virginia Surgery Lynchburg VA 24501
Fax: (434) 947-3988
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 054250 Georgia

Profile Details

NPI number 1275604647
LBN Legal business name Beverly, Clinton Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated Mar 7th, 2013 - about 12 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 1275604647 NPPES
Georgia Other 303465 WELL CARE PROVIDER #
Georgia Other P00143081 WELL CARE PROVIDER #
Georgia Other 913938883A WELL CARE PROVIDER #
Georgia MEDICAID 913938883A WELL CARE PROVIDER #
Georgia Other 52143398 WELL CARE PROVIDER #

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