Hendelman, Beverly

Hendelman, Beverly is an sole proprietor health care provider with primary practice located at 670 Malecon Dr , Parris Island SC 29905. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Hendelman, Beverly can be contacted via phone (812) 243-0272.

Contact Information

Primary practice address
670 Malecon Dr Parris Island SC 29905
Phone: (812) 243-0272
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 5629 Alaska
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 5629 Alaska

Profile Details

NPI number 1730125691
LBN Legal business name Hendelman, Beverly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2006
Last updated Apr 21st, 2011 - about 15 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 1730125691 NPPES
Alaska MEDICAID MD6578

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