John-Daniel, Bevila

John-Daniel, Bevila is an individual health care provider with primary practice located at 1800 Community , Clinton MO 64735. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. John-Daniel, Bevila can be contacted via phone (888) 403-1071.

Contact Information

Primary practice address
1800 Community Clinton MO 64735
Phone: (888) 403-1071
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 33996 Arizona
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2017031166 Missouri

Profile Details

NPI number 1184757262
LBN Legal business name John-Daniel, Bevila
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 10th, 2019 - about 7 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 1184757262 NPPES
Arizona Other 36675 MHN
Arizona MEDICAID 974057 MHN

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