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Contact Information

BEA, LLC
5705 SALEM RUN BLVD
SUITE 100
FREDERICKSBURG, VA22407-7119
 Phone: 540-786-4882
 Fax: 540-786-4893
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BEA LLC · (Female)

NPI Number 1831483734
Status Active
Credentials
Entity Individual
Enumeration date 06/08/2011
Last updated 06/08/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0104555602
  • VA Other 0104555602 VIRGINIA MEDICAL LICENSE NUMBER
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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