Addie, Delores

Addie, Delores is an individual health care provider with primary practice located at 1502 Mary Kay Blvd , Benton AR 72015. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Addie, Delores can be contacted via phone (501) 315-3344.

Contact Information

Primary practice address
1502 Mary Kay Blvd Benton AR 72015
Phone: (501) 315-3344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1083252787
LBN Legal business name Addie, Delores
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2019
Last updated Dec 13th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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