Provider Demographics
NPI:1326061946
Name:POPELAS, BEVERLEY A I
Entity Type:Individual
Prefix:MRS
First Name:BEVERLEY
Middle Name:A
Last Name:POPELAS
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6559 RT 30 WEST
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644
Mailing Address - Country:US
Mailing Address - Phone:724-527-1104
Mailing Address - Fax:724-527-1143
Practice Address - Street 1:RT 30 WEST
Practice Address - Street 2:BEVERLEY'S BEAUTY SOLUTIONS,INC 6559
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644
Practice Address - Country:US
Practice Address - Phone:724-527-1104
Practice Address - Fax:724-527-1143
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000006807174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist