Beyer, Jessica Mabel
Beyer, Jessica Mabel is an sole proprietor health care provider with primary practice located at 1136 Sam Newell Rd Suite B-2, Matthews NC 28105-5063. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Beyer, Jessica Mabel can be contacted via phone (980) 239-7910.Contact Information
Primary practice address
1136 Sam Newell Rd Suite B-2
Matthews NC 28105-5063
Phone: (980) 239-7910
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 7912 | North Carolina |
Profile Details
| NPI number | 1932427374 |
|---|---|
| LBN Legal business name | Beyer, Jessica Mabel |
| Credentials | NCC, LPC, LCAS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2010 |
| Last updated | Jul 6th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932427374 | NPPES |
| North Carolina | Other | 1880F | BCBS |
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