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Contact Information

BEASLEY, INC.
2210 WRIGHTSVILLE AVE
SUITE 3C
WILMINGTON, NC28403-2575
 Phone: 910-392-3100
 Fax: 910-763-2884
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BEASLEY, INC.

NPI Number 1154427110
LBN Legal business name BEASLEY, INC.
Authorized official SEAN REESE - (OWNER/CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/16/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NC License # 2068
NC Medicaid 890876N
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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