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Contact Information

PAIGE E BEVERLY, PA-C
13100 N WESTERN AVE STE 301
OKLAHOMA CITY, OK73114-1432
 Phone: 405-947-6647
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PAIGE E BEVERLY · (Female)

NPI Number 1962869313
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/15/2016
Last updated 10/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 2646
  • OK License # PA2646
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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