Banks, Jaressa

Banks, Jaressa is an sole proprietor health care provider with primary practice located at 315 E Union Ave , Osceola AR 72370-3235. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Banks, Jaressa can be contacted via phone (870) 563-1331.

Contact Information

Primary practice address
315 E Union Ave Osceola AR 72370-3235
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Arkansas

Profile Details

NPI number 1184198657
LBN Legal business name Banks, Jaressa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2019
Last updated Jan 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184198657 NPPES
Arkansas MEDICAID 229765795

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