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Contact Information

ASHTON BEAVER
106 EDWARDS ST
NEWTON, IL62448-1736
 Phone: 618-783-4154
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for ASHTON BEAVER · (Female)

NPI # 1164087995
Status Active
Credentials
Entity Individual
Enumeration date 05/07/2019
Last updated 05/07/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL Medicaid 376001106006
  • IL Medicaid 376001106007
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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