Bevin, Avery A

Bevin, Avery A is an individual health care provider with primary practice located at 6781 Parker Farm Dr Ste 300 , Wilmington NC 28405-3161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bevin, Avery A can be contacted via phone (910) 763-1555.

Contact Information

Primary practice address
6781 Parker Farm Dr Ste 300 Wilmington NC 28405-3161
Phone: (910) 763-1555
Fax: (910) 762-4726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD 60313749 Washington
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD60313749 Washington
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 200501773 North Carolina

Profile Details

NPI number 1588643613
LBN Legal business name Bevin, Avery A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Feb 16th, 2022 - 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 1588643613 NPPES
North Carolina MEDICAID 1588643613
North Carolina Other 141R1
North Carolina Other P00293029
North Carolina Other 141R1
North Carolina MEDICAID 2029984
North Carolina Other 2050685
North Carolina Other 141R1

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