Alden, Tamatha

Alden, Tamatha is an individual health care provider with primary practice located at 700 S Main St , Mountain Home AR 72653-3143. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Alden, Tamatha can be contacted via phone (870) 425-1041.

Contact Information

Primary practice address
700 S Main St Mountain Home AR 72653-3143
Phone: (870) 425-1041
Fax: (870) 425-1049
Website:
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Health care specialties

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

Profile Details

NPI number 1780273227
LBN Legal business name Alden, Tamatha
Credentials QBHP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2021
Last updated Apr 11th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780273227 NPPES
Arkansas MEDICAID 259642795

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