Ellington, Beverly Turner

Ellington, Beverly Turner is an individual health care provider with primary practice located at 800 N A St , Easley SC 29640-2144. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ellington, Beverly Turner can be contacted via phone (864) 855-0001.

Contact Information

Primary practice address
800 N A St Easley SC 29640-2144
Phone: (864) 855-0001
Fax: (864) 855-5030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 158067 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9953 South Carolina

Profile Details

NPI number 1003984857
LBN Legal business name Ellington, Beverly Turner
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Jan 18th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003984857 NPPES
New York Other 102463DL PREFERRED CARE
New York MEDICAID 1147117 PREFERRED CARE
New York Other P010158067 PREFERRED CARE
New York Other 158067CP PREFERRED CARE
New York Other P010158067 PREFERRED CARE
New York MEDICAID 099538 PREFERRED CARE
New York Other 2697340 PREFERRED CARE

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