Provider Demographics
NPI:1588770515
Name:LEMASTER, BETH MARGARET (DC, RN)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:MARGARET
Last Name:LEMASTER
Suffix:
Gender:F
Credentials:DC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 SAUNDERS ST
Mailing Address - Street 2:
Mailing Address - City:SCOTT DEPOT
Mailing Address - State:WV
Mailing Address - Zip Code:25560-9589
Mailing Address - Country:US
Mailing Address - Phone:304-633-0798
Mailing Address - Fax:
Practice Address - Street 1:18 SAUNDERS ST
Practice Address - Street 2:
Practice Address - City:SCOTT DEPOT
Practice Address - State:WV
Practice Address - Zip Code:25560-9589
Practice Address - Country:US
Practice Address - Phone:304-633-0798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV847111N00000X
KY1127895163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810009491Medicaid
WV001909196OtherMOUNTAIN STATE BCBS
WV3810009491Medicaid