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Individual

ERIC A BEARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
1900 LOCUST AVE, SUITE A, FAIRMONT, WV 26554-1239
(304) 225-5222
(304) 333-5224
Mailing address
150 MEMORIAL DR, KINGWOOD, WV 26537-1141
(304) 329-3908
(304) 329-3918

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001561
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
245634
CARELINK
WV
01
550763083002
BC/BS
WV
01
5578154
CIGNA
WV
01
7157346
AETNA
WV
05
7304088-000
WV
01
9335681
GROUP
WV
01
9335682
GROUP
WV
01
9335684
GROUP
WV
Enumeration date
06/11/2005
Last updated
09/10/2018
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