Individual
ERIC A BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
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
Update your record
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